License holder summary

LAWRENCE A VICKMAN is a Board Of Medicine licensed to practice in Idaho. The address on file for LAWRENCE A VICKMAN is 5323 Bayshore Blvd #E TAMPA FL 33611. This licensed professional license is current. The license was granted 07/14/1975 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

LAWRENCE A VICKMAN
Board Of Medicine
License number
M-3396
Date granted
07/14/1975
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
5323 Bayshore Blvd #E TAMPA FL 33611
idaholicensing.com
ID 48356357
LAST UPDATED 2024-02-11 07:23:35 UTC

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