License holder summary

MARY LOUISE GRODA-LEWIS is a Board Of Medicine licensed to practice in Idaho. The address on file for MARY LOUISE GRODA-LEWIS is 5063 N Diversey Blvd WHITEFISH BAY WI 53217. This licensed professional license is not current. The license was granted 07/13/1987 and expired on 08/01/2009.

Idaho

Division of Occupational and Professional Licenses

MARY LOUISE GRODA-LEWIS
Board Of Medicine
License number
M-5248
Date granted
07/13/1987
Date expires
08/01/2009
Class
Board Of Medicine
Status
Canceled
Address
5063 N Diversey Blvd WHITEFISH BAY WI 53217
idaholicensing.com
ID 48349091
LAST UPDATED 2024-03-19 20:11:08 UTC

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