Idaho
Division of Occupational and Professional Licenses
Dr. THOMAS GERARD FACISZEWSKI
Board Of Medicine
License number
M-12458
Date granted
05/12/2014
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
11302 COYOTE COVE NAMPA ID 83686
idaholicensing.com
ID 48329315
LAST UPDATED 2024-02-21 01:15:04 UTC
LAST UPDATED 2024-02-21 01:15:04 UTC
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