Idaho
Division of Occupational and Professional Licenses
Dr. TIMOTHY JOHN MICKEL
Board Of Medicine
License number
M-12465
Date granted
05/19/2014
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
721 G AVENUE Coronado CA 92118
idaholicensing.com
ID 48354048
LAST UPDATED 2024-04-13 16:50:51 UTC
LAST UPDATED 2024-04-13 16:50:51 UTC
This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.