Idaho
Division of Occupational and Professional Licenses
Dr. BONNIE JEAN WITRAK
Board Of Medicine
License number
M-12423
Date granted
04/15/2014
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
RADIA INC. P.S. ATTN: Credentialing Lynnwood WA 98036
idaholicensing.com
ID 48335442
LAST UPDATED 2024-02-27 04:12:14 UTC
LAST UPDATED 2024-02-27 04:12:14 UTC
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