License holder summary

Dr. ANITA IRENE CHAROCHAK is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. ANITA IRENE CHAROCHAK is 1535 GULL ROAD, MSB# 130 KALAMAZOO MI 49048. This licensed professional license is not current. The license was granted 09/16/2010 and expired on 08/01/2012.

Idaho

Division of Occupational and Professional Licenses

Dr. ANITA IRENE CHAROCHAK
Board Of Medicine
License number
O-0586
Date granted
09/16/2010
Date expires
08/01/2012
Class
Board Of Medicine
Status
Canceled
Address
1535 GULL ROAD, MSB# 130 KALAMAZOO MI 49048
idaholicensing.com
ID 48335255
LAST UPDATED 2024-05-17 10:24:33 UTC

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