Idaho
Division of Occupational and Professional Licenses
MICHAEL D. WICKS
Board Of Medicine
License number
M-3229
Date granted
01/13/1974
Date expires
03/01/1972
Class
Board Of Medicine
Status
Canceled
Address
Fort Hall IHS Fort Hall ID 83203
idaholicensing.com
ID 48356766
LAST UPDATED 2024-03-25 18:20:00 UTC
LAST UPDATED 2024-03-25 18:20:00 UTC
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