MICHAEL KENNETH WUCINICH

Idaho  PA-1274   Licensed

This Idaho license is held by MICHAEL KENNETH WUCINICH. The license is currently active. It was granted on 08/27/2015 and expired on 06/30/2017

LICENSE DETAILS

  • License Number: PA-1274
  • Category: Board Of Medicine
  • Status: Licensed
  • Date Granted: 08/27/2015 (over 8 years ago)
  • Expiry Date: 06/30/2017 (almost 7 years ago)

LOCATIONS

A Residential

775 Pole Line Road W Suite 302 Twin Falls ID 83301