Idaho
Division of Occupational and Professional Licenses
TIMOTHY J SULLIVAN
Board Of Medicine
License number
M-3068
Date granted
07/09/1972
Date expires
08/01/2016
Class
Board Of Medicine
Status
Canceled
Address
338 E BANNOCK STREET BOISE ID 83712
idaholicensing.com
ID 48355469
LAST UPDATED 2023-12-30 05:39:47 UTC
LAST UPDATED 2023-12-30 05:39:47 UTC
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