License holder summary

Dr. TIMOTHY RICHARD MOORE is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. TIMOTHY RICHARD MOORE is 3025 W Cherry Ln, Ste B Meridian ID 83642. This licensed professional license is current. The license was granted 05/08/2015 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

Dr. TIMOTHY RICHARD MOORE
Board Of Medicine
License number
M-12911
Date granted
05/08/2015
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
3025 W Cherry Ln, Ste B Meridian ID 83642
idaholicensing.com
ID 48359369
LAST UPDATED 2024-03-09 00:42:54 UTC

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