License holder summary

Thomas Wayne Tully is a Board Of Medicine licensed to practice in Idaho. The address on file for Thomas Wayne Tully is 3660 Summit Run Trail Idaho Falls ID 83404. This licensed professional license is not current. The license was granted 04/10/2002.

Idaho

Division of Occupational and Professional Licenses

Thomas Wayne Tully
Board Of Medicine
License number
PA-389
Date granted
04/10/2002
Class
Board Of Medicine
Status
Deceased
Address
3660 Summit Run Trail Idaho Falls ID 83404
idaholicensing.com
ID 48358147
LAST UPDATED 2024-03-15 10:43:50 UTC

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