Idaho
Division of Occupational and Professional Licenses
THOMAS W. MOFFATT
Board Of Medicine
License number
M-3300
Date granted
07/09/1974
Date expires
07/01/1971
Class
Board Of Medicine
Status
Canceled
Address
4010 North War Memorial Drive Peoria IL 61614
idaholicensing.com
ID 48338373
LAST UPDATED 2024-04-05 07:50:23 UTC
LAST UPDATED 2024-04-05 07:50:23 UTC
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