License holder summary

JOHN G. DOCKUM is a Board Of Medicine licensed to practice in Idaho. The address on file for JOHN G. DOCKUM is 17 South 3rd Street Nyssa OR 97913. This licensed professional license is not current. The license was granted 07/21/1982 and expired on 07/02/1990.

Idaho

Division of Occupational and Professional Licenses

JOHN G. DOCKUM
Board Of Medicine
License number
M-4504
Date granted
07/21/1982
Date expires
07/02/1990
Class
Board Of Medicine
Status
Canceled
Address
17 South 3rd Street Nyssa OR 97913
idaholicensing.com
ID 48343470
LAST UPDATED 2026-05-04 19:14:25 UTC

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