Idaho
Division of Occupational and Professional Licenses
THOMAS JEROME LEAVITT
Board Of Medicine
License number
M-9379
Date granted
08/26/2005
Date expires
08/01/2011
Class
Board Of Medicine
Status
Canceled
Address
1750 COPPERTON RD CAMINO CA 95709
idaholicensing.com
ID 48339221
LAST UPDATED 2024-04-06 15:37:00 UTC
LAST UPDATED 2024-04-06 15:37:00 UTC
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