License holder summary

MICHAEL KENNETH WUCINICH is a Board Of Medicine licensed to practice in Idaho. The address on file for MICHAEL KENNETH WUCINICH is 775 Pole Line Road W Suite 302 Twin Falls ID 83301. This licensed professional license is current. The license was granted 08/27/2015 and expired on 06/30/2017.

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

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