Idaho
Division of Occupational and Professional Licenses
MICHAEL KENNETH WUCINICH
Board Of Medicine
License number
PA-1274
Date granted
08/27/2015
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
775 Pole Line Road W Suite 302 Twin Falls ID 83301
idaholicensing.com
ID 48343403
LAST UPDATED 2024-03-17 13:20:44 UTC
LAST UPDATED 2024-03-17 13:20:44 UTC
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