MARK C. MADSEN

Idaho  M-3527   Canceled

This Idaho license was held by MARK C. MADSEN. The license is no longer active. It was granted on 07/12/1976 and expired on 07/01/1976

LICENSE DETAILS

  • License Number: M-3527
  • Category: Board Of Medicine
  • Status: Canceled
  • Date Granted: 07/12/1976 (almost 48 years ago)
  • Expiry Date: 07/01/1976 (almost 48 years ago)

LOCATIONS

A Residential

PO Box P Pocatello ID 83201