Idaho
Division of Occupational and Professional Licenses
ANDRZEJ TOMASZ MIDAK
Board Of Medicine
License number
LRT-624
Date granted
06/13/1997
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
2565 N Leann Way MERIDIAN ID 83646
idaholicensing.com
ID 48335341
LAST UPDATED 2024-04-26 02:51:48 UTC
LAST UPDATED 2024-04-26 02:51:48 UTC
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