Idaho
Division of Occupational and Professional Licenses
MARION HELEN WIZNER
Board Of Medicine
License number
LRT-792
Date granted
09/20/1999
Date expires
06/30/2006
Class
Board Of Medicine
Status
Canceled
Address
202 W SHELDON ST GAYLORD MI 49735
idaholicensing.com
ID 48355511
LAST UPDATED 2024-01-06 19:39:46 UTC
LAST UPDATED 2024-01-06 19:39:46 UTC
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