Idaho
Division of Occupational and Professional Licenses
MICHELLE WIRICK
Board Of Medicine
License number
LRT-1174
Date granted
06/28/2006
Date expires
08/01/2012
Class
Board Of Medicine
Status
Canceled
Address
2052 HIGH DESERT DR IDAHO FALLS ID 83406
idaholicensing.com
ID 48354938
LAST UPDATED 2026-03-10 19:29:37 UTC
LAST UPDATED 2026-03-10 19:29:37 UTC
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