License holder summary

TERRY RANDALL PATRICK is a Board Of Medicine licensed to practice in Idaho. The address on file for TERRY RANDALL PATRICK is 65479 GREEN VALLEY RD ENTERPRISE OR 97828. This licensed professional license is not current. The license was granted 12/27/2001 and expired on 06/30/2007.

Idaho

Division of Occupational and Professional Licenses

TERRY RANDALL PATRICK
Board Of Medicine
License number
LRT-903
Date granted
12/27/2001
Date expires
06/30/2007
Class
Board Of Medicine
Status
Canceled
Address
65479 GREEN VALLEY RD ENTERPRISE OR 97828
idaholicensing.com
ID 48338430
LAST UPDATED 2026-03-25 15:36:28 UTC

This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.

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