License holder summary

TIMOTHY J MICKLOS is a Board Of Medicine licensed to practice in Idaho. The address on file for TIMOTHY J MICKLOS is 5444 Green Street SALT LAKE CITY UT 84123. This licensed professional license is current. The license was granted 12/08/2001 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

TIMOTHY J MICKLOS
Board Of Medicine
License number
M-8397
Date granted
12/08/2001
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
5444 Green Street SALT LAKE CITY UT 84123
idaholicensing.com
ID 48354057
LAST UPDATED 2024-03-11 05:02:21 UTC

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