License holder summary

TIMOTHY ELI HOLMSTROM is a Board Of Medicine licensed to practice in Idaho. The address on file for TIMOTHY ELI HOLMSTROM is 2500 W A STREET STE 201 MOSCOW ID 83843. This licensed professional license is not current. The license was granted 02/04/2011 and expired on 08/01/2016.

Idaho

Division of Occupational and Professional Licenses

TIMOTHY ELI HOLMSTROM
Board Of Medicine
License number
PA-891
Date granted
02/04/2011
Date expires
08/01/2016
Class
Board Of Medicine
Status
Canceled
Address
2500 W A STREET STE 201 MOSCOW ID 83843
idaholicensing.com
ID 48353157
LAST UPDATED 2024-03-10 02:55:03 UTC

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