Idaho
Division of Occupational and Professional Licenses
Dr. J THOMAS GRISSOM
Board Of Medicine
License number
M-7402
Date granted
12/06/1997
Date expires
08/03/2015
Class
Board Of Medicine
Status
Canceled
Address
2301 W SILVER HILLS CIR WASILLA AK 99654
idaholicensing.com
ID 48351751
LAST UPDATED 2024-01-17 02:16:09 UTC
LAST UPDATED 2024-01-17 02:16:09 UTC
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