License holder summary

TIMOTHY MICHAEL PHILLIPS is a Board Of Medicine licensed to practice in Idaho. The address on file for TIMOTHY MICHAEL PHILLIPS is 4510 ELD LN NW OLYMPIA WA 98502. This licensed professional license is not current. The license was granted 09/15/1997 and expired on 07/31/2010.

Idaho

Division of Occupational and Professional Licenses

TIMOTHY MICHAEL PHILLIPS
Board Of Medicine
License number
M-7360
Date granted
09/15/1997
Date expires
07/31/2010
Class
Board Of Medicine
Status
Canceled
Address
4510 ELD LN NW OLYMPIA WA 98502
idaholicensing.com
ID 48352554
LAST UPDATED 2024-02-07 18:17:26 UTC

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