Dr. MARK EVAN LUPTON
Idaho O-0994 Licensed
This Idaho license is held by Dr. MARK EVAN LUPTON. The license is currently active. It was granted on 10/24/2016 and expired on 06/30/2018
LICENSE DETAILS
- License Number: O-0994
- Category: Board Of Medicine
- Status: Licensed
- Date Granted: 10/24/2016 (over 8 years ago)
- Expiry Date: 06/30/2018 (almost 7 years ago)
LOCATIONS
A Residential
310 IDAHO STREET BLACKFOOT ID 83221
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