License holder summary

TYLER JONATHON SMITH is a Board Of Medicine licensed to practice in Idaho. The address on file for TYLER JONATHON SMITH is 11656 W Granger St BOISE ID 83713. This licensed professional license is current. The license was granted 04/12/2005 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

TYLER JONATHON SMITH
Board Of Medicine
License number
AT-261
Date granted
04/12/2005
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
11656 W Granger St BOISE ID 83713
idaholicensing.com
ID 48369485
LAST UPDATED 2024-03-06 21:05:26 UTC

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