MARK ALLEN BERGER
Idaho LRT-522 Canceled
This Idaho license was held by MARK ALLEN BERGER. The license is no longer active. It was granted on 10/16/1995 and expired on 08/01/2016
LICENSE DETAILS
- License Number: LRT-522
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 10/16/1995 (over 28 years ago)
- Expiry Date: 08/01/2016 (almost 8 years ago)
LOCATIONS
A Residential
1408 E COUGAR CREEK DR MERIDIAN ID 83646