License holder summary

PHILIP N LEAVITT is a Board Of Medicine licensed to practice in Idaho. The address on file for PHILIP N LEAVITT is 8535 S 15 W Idaho Falls ID 83402. This licensed professional license is not current. The license was granted 07/09/1956 and expired on 06/30/2000.

Idaho

Division of Occupational and Professional Licenses

PHILIP N LEAVITT
Board Of Medicine
License number
M-2325
Date granted
07/09/1956
Date expires
06/30/2000
Class
Board Of Medicine
Status
Canceled
Address
8535 S 15 W Idaho Falls ID 83402
idaholicensing.com
ID 48339220
LAST UPDATED 2024-03-11 08:27:17 UTC

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