License holder summary

Dr. CHRISTIANA Marie LIETZKE is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. CHRISTIANA Marie LIETZKE is 1151 SPUN HOLLOW RD RUTLEDGE TN 37861. This licensed professional license is not current. The license was granted 05/01/2014 and expired on 08/03/2015.

Idaho

Division of Occupational and Professional Licenses

Dr. CHRISTIANA Marie LIETZKE
Board Of Medicine
License number
M-12433
Date granted
05/01/2014
Date expires
08/03/2015
Class
Board Of Medicine
Status
Canceled
Address
1151 SPUN HOLLOW RD RUTLEDGE TN 37861
idaholicensing.com
ID 48348714
LAST UPDATED 2024-04-27 18:53:00 UTC

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