License holder summary

Dr. TIMOTHY JOHN MICKEL is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. TIMOTHY JOHN MICKEL is 721 G AVENUE Coronado CA 92118. This licensed professional license is current. The license was granted 05/19/2014 and expired on 06/30/2018.

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

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