License holder summary

RAYMOND L. WIETRZYKOWSKI is a Board Of Medicine licensed to practice in Idaho. The address on file for RAYMOND L. WIETRZYKOWSKI is 5739 N. McVicker Chicago IL 60646. This licensed professional license is not current. The license was granted 11/08/1985 and expired on 07/01/1972.

Idaho

Division of Occupational and Professional Licenses

RAYMOND L. WIETRZYKOWSKI
Board Of Medicine
License number
M-4999
Date granted
11/08/1985
Date expires
07/01/1972
Class
Board Of Medicine
Status
Canceled
Address
5739 N. McVicker Chicago IL 60646
idaholicensing.com
ID 48356556
LAST UPDATED 2024-04-07 23:38:08 UTC

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