License holder summary

RONALD F MICIAK is a Board Of Medicine licensed to practice in Idaho. The address on file for RONALD F MICIAK is 801 Pole Line Rd. West Twin Falls ID 83301. This licensed professional license is current. The license was granted 01/11/1980 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

RONALD F MICIAK
Board Of Medicine
License number
M-4130
Date granted
01/11/1980
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
801 Pole Line Rd. West Twin Falls ID 83301
idaholicensing.com
ID 48335339
LAST UPDATED 2024-01-28 06:51:23 UTC

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