Dr. STEVEN EDWARD PONTICKIO
Idaho MRM-1318 Upgraded
This Idaho license was held by Dr. STEVEN EDWARD PONTICKIO. The license is no longer active. It was granted on 05/15/2013
LICENSE DETAILS
- License Number: MRM-1318
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 05/15/2013 (almost 12 years ago)
LOCATIONS
A Residential
ST. LUKES INTERNAL MEDICINE - HOSPITALISTS BOISE ID 83712