RICHARD OTTO VYCITAL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036028270

License Status

INACTIVE

Business

First Name

RICHARD OTTO

Last Name

VYCITAL

Suffix

Business Name

RICHARD OTTO VYCITAL MD

Original Issue Date

08/25/1947

Effective Date

08/25/1947

Expiration Date

07/31/1984

City

BOISE

State

Zip

83702

County

IDAHO

Ever Disciplined

LastModifiedDate

09/20/2006