License holder summary

TAMERA KAYE BRODERICK is a Board Of Medicine licensed to practice in Idaho. The address on file for TAMERA KAYE BRODERICK is 125 W 400 LN S RUPERT ID 83350. This licensed professional license is current. The license was granted 04/11/2014 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

TAMERA KAYE BRODERICK
Board Of Medicine
License number
LRT-1762
Date granted
04/11/2014
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
125 W 400 LN S RUPERT ID 83350
idaholicensing.com
ID 48341638
LAST UPDATED 2024-05-08 04:42:27 UTC

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