Idaho
Division of Occupational and Professional Licenses
Dr. MICHAEL DAVID PUCHALSKI
Board Of Medicine
License number
M-12375
Date granted
03/12/2014
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
2665 DAYBREAKER DR. PARK CITY UT 84098
idaholicensing.com
ID 48357732
LAST UPDATED 2024-04-24 17:51:35 UTC
LAST UPDATED 2024-04-24 17:51:35 UTC
This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.