DONALD M. MACK
Idaho M-2370 Deceased
This Idaho license was held by DONALD M. MACK. The license is no longer active. It was granted on 07/08/1957 and expired on 07/02/1993
LICENSE DETAILS
- License Number: M-2370
- Category: Board Of Medicine
- Status: Deceased
- Date Granted: 07/08/1957 (almost 67 years ago)
- Expiry Date: 07/02/1993 (almost 31 years ago)
LOCATIONS
A Residential
11510 SE Stark Portland OR 97216