MAHLON HIESTAND
Idaho M-5105 Surrendered
This Idaho license was held by MAHLON HIESTAND. The license is no longer active. It was granted on 07/11/1986 and expired on 01/21/2008
LICENSE DETAILS
- License Number: M-5105
- Category: Board Of Medicine
- Status: Surrendered
- Date Granted: 07/11/1986 (almost 38 years ago)
- Expiry Date: 01/21/2008 (over 16 years ago)
LOCATIONS
A Residential
1020 Main St LEWISTON ID 83501