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 2026-03-26 06:11:46 UTC
LAST UPDATED 2026-03-26 06:11:46 UTC
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