License holder summary

THOMAS R. HERNANDEZ is a Board Of Medicine licensed to practice in Idaho. The address on file for THOMAS R. HERNANDEZ is PO Box 4730 Pocatello ID 83205. This licensed professional license is not current. The license was granted 09/01/1994.

Idaho

Division of Occupational and Professional Licenses

THOMAS R. HERNANDEZ
Board Of Medicine
License number
MRM-431
Date granted
09/01/1994
Class
Board Of Medicine
Status
Canceled
Address
PO Box 4730 Pocatello ID 83205
idaholicensing.com
ID 48349480
LAST UPDATED 2024-03-17 20:42:20 UTC

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