License holder summary

CHARLES ANTHONY MICHIELI is a Board Of Medicine licensed to practice in Idaho. The address on file for CHARLES ANTHONY MICHIELI is 4812 N. CAMINO LUZ TUCSON AZ 85718. This licensed professional license is not current. The license was granted 03/13/2012 and expired on 08/01/2016.

Idaho

Division of Occupational and Professional Licenses

CHARLES ANTHONY MICHIELI
Board Of Medicine
License number
M-11599
Date granted
03/13/2012
Date expires
08/01/2016
Class
Board Of Medicine
Status
Canceled
Address
4812 N. CAMINO LUZ TUCSON AZ 85718
idaholicensing.com
ID 48352508
LAST UPDATED 2024-04-12 02:57:07 UTC

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