Idaho
Division of Occupational and Professional Licenses
Dr. CAROLYN Kay WICKENKAMP
Board Of Medicine
License number
M-11922
Date granted
02/28/2013
Class
Board Of Medicine
Status
Active
Address
8795 W DRIFTWOOD DRIVE COEUR D ALENE ID 83814
idaholicensing.com
ID 48355992
LAST UPDATED 2024-04-14 19:34:29 UTC
LAST UPDATED 2024-04-14 19:34:29 UTC
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