License holder summary

THOMAS JEROME LEAVITT is a Board Of Medicine licensed to practice in Idaho. The address on file for THOMAS JEROME LEAVITT is 1750 COPPERTON RD CAMINO CA 95709. This licensed professional license is not current. The license was granted 08/26/2005 and expired on 08/01/2011.

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 2026-04-28 01:52:44 UTC

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