License holder summary

MARK LLOYD WISNIEWSKI is a Board Of Medicine licensed to practice in Idaho. The address on file for MARK LLOYD WISNIEWSKI is 518 H ST SALT LAKE CITY UT 84103. This licensed professional license is current. The license was granted 06/03/2005.

Idaho

Division of Occupational and Professional Licenses

MARK LLOYD WISNIEWSKI
Board Of Medicine
License number
M-9317
Date granted
06/03/2005
Class
Board Of Medicine
Status
Active
Address
518 H ST SALT LAKE CITY UT 84103
idaholicensing.com
ID 48349273
LAST UPDATED 2024-02-13 12:28:09 UTC

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