License holder summary

TIMOTHY BOCK ICENOGLE is a Board Of Medicine licensed to practice in Idaho. The address on file for TIMOTHY BOCK ICENOGLE is 122 W 7TH AVE, STE 110 SPOKANE WA 99204. This licensed professional license is current. The license was granted 07/16/2009 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

TIMOTHY BOCK ICENOGLE
Board Of Medicine
License number
M-10760
Date granted
07/16/2009
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
122 W 7TH AVE, STE 110 SPOKANE WA 99204
idaholicensing.com
ID 48342766
LAST UPDATED 2024-03-11 20:58:44 UTC

This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.

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