License holder summary

WICKSTROM KARL THEODORE is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for WICKSTROM KARL THEODORE is PRESCOTT AZ. This doctor license is not current. The license was granted 04/27/1972.

New York

Office of the Professions

WICKSTROM KARL THEODORE
Medicine (Physician, Including M Ds & D Os)
License number
112076
Date granted
04/27/1972
Class
Medicine (Physician, Including M Ds & D Os)
Status
Inactive
Address
PRESCOTT AZ
nymedicine.org
ID 30310532
LAST UPDATED 2024-03-12 19:07:04 UTC

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