License holder summary

MICHAEL LEE PESTOTNIK is a Board Of Medicine licensed to practice in Idaho. The address on file for MICHAEL LEE PESTOTNIK is 500 W FORT ST BOISE ID 83702. This licensed professional license is current. The license was granted 05/05/2016 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

MICHAEL LEE PESTOTNIK
Board Of Medicine
License number
MRM-1560
Date granted
05/05/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
500 W FORT ST BOISE ID 83702
idaholicensing.com
ID 48354392
LAST UPDATED 2024-04-09 22:51:37 UTC

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