EVERET WAYNE WITZEL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038735

License Status

INACTIVE

Business

First Name

EVERET WAYNE

Last Name

WITZEL

Suffix

Business Name

EVERET WAYNE WITZEL MD

Original Issue Date

10/08/1963

Effective Date

10/08/1963

Expiration Date

07/31/1987

City

BOISE

State

Zip

83704

County

IDAHO

Ever Disciplined

LastModifiedDate

09/20/2006