License holder summary

THOMAS DANIEL BROCK is a Board Of Medicine licensed to practice in Idaho. The address on file for THOMAS DANIEL BROCK is 807 Dell Rd Chubbuck ID 83202. This licensed professional license is current. The license was granted 09/08/2003 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

THOMAS DANIEL BROCK
Board Of Medicine
License number
AT-225
Date granted
09/08/2003
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
807 Dell Rd Chubbuck ID 83202
idaholicensing.com
ID 48341632
LAST UPDATED 2024-02-17 15:59:27 UTC

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