Idaho
Division of Occupational and Professional Licenses
EDWARD MICHAEL GACEK
Board Of Medicine
License number
M-7771
Date granted
06/05/1999
Date expires
06/30/2000
Class
Board Of Medicine
Status
Canceled
Address
800 Park Blvd Ste 760 Boise ID 83712
idaholicensing.com
ID 48329321
LAST UPDATED 2024-03-14 14:23:58 UTC
LAST UPDATED 2024-03-14 14:23:58 UTC
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