MARK ALAN PRUITT
Idaho MSO-0042 Expired
This Idaho license was held by MARK ALAN PRUITT. The license is no longer active. It was granted on 10/19/2012 and expired on 10/19/2013
LICENSE DETAILS
- License Number: MSO-0042
- Category: Board Of Medicine
- Status: Expired
- Date Granted: 10/19/2012 (over 12 years ago)
- Expiry Date: 10/19/2013 (over 11 years ago)
LOCATIONS
A Residential
200 S OSTEOPATHY APT 202B KIRKSVILLE MO 63501