EVERET WAYNE WITZEL MD - Medical Doctor License in Idaho | # 036038735

EVERET WAYNE WITZEL MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038735

License Status

INACTIVE

Business

N

First Name

EVERET WAYNE

Last Name

WITZEL

Suffix

MD

Business Name

EVERET WAYNE WITZEL MD

Original Issue Date

10/08/1963

Effective Date

10/08/1963

Expiration Date

07/31/1987

State

ID

Ever Disciplined

N

LastModifiedDate

09/20/2006