License holder summary

Dr. THOMAS HEACOCK is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. THOMAS HEACOCK is 340 KOLMAR ST LA JOLLA CA 92037. This licensed professional license is not current. The license was granted 08/01/2014 and expired on 08/01/2016.

Idaho

Division of Occupational and Professional Licenses

Dr. THOMAS HEACOCK
Board Of Medicine
License number
M-12582
Date granted
08/01/2014
Date expires
08/01/2016
Class
Board Of Medicine
Status
Canceled
Address
340 KOLMAR ST LA JOLLA CA 92037
idaholicensing.com
ID 48329339
LAST UPDATED 2024-03-02 22:10:58 UTC

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