MARY ELLEN LUCHETTI MD - Medical Doctor License in Idaho | # 036149265

MARY ELLEN LUCHETTI MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149265

License Status

ACTIVE

Business

N

Title

MD

First Name

MARY

Middle

ELLEN

Last Name

LUCHETTI

Business Name

MARY ELLEN LUCHETTI MD

Original Issue Date

05/01/2019

Effective Date

07/30/2023

Expiration Date

07/31/2026

State

ID

Ever Disciplined

N

LastModifiedDate

07/30/2023