Idaho
Division of Occupational and Professional Licenses
JOSEPH JOHN PUKSTAS
Board Of Medicine
License number
LRT-586
Date granted
10/16/1996
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1609 Spruce Creek Loop NAMPA ID 83686
idaholicensing.com
ID 48356714
LAST UPDATED 2024-02-13 21:38:27 UTC
LAST UPDATED 2024-02-13 21:38:27 UTC
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