Arizona
Board of Licensing
Timothy B. Icenogle MD
Medical Doctor
License number
16192
Date granted
07/18/1986
Class
Medical Doctor
Status
Active
Address
105 W 8th Ave Ste 532, Spokane WA 99204-2318
arizonalicensing.com
ID 22591754
LAST UPDATED 2024-01-31 13:33:36 UTC
LAST UPDATED 2024-01-31 13:33:36 UTC