Idaho
Division of Occupational and Professional Licenses
LONNY RICHARD NIEJADLIK
Board Of Medicine
License number
LRT-1847
Date granted
11/14/2014
Date expires
08/01/2016
Class
Board Of Medicine
Status
Canceled
Address
2301 LEMHI ST BOISE ID 83705
idaholicensing.com
ID 48330028
LAST UPDATED 2024-03-08 19:43:34 UTC
LAST UPDATED 2024-03-08 19:43:34 UTC
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