MARK DOUGLAS FORTE
Idaho M-6793 Canceled
This Idaho license was held by MARK DOUGLAS FORTE. The license is no longer active. It was granted on 08/22/1995 and expired on 07/02/1998
LICENSE DETAILS
- License Number: M-6793
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 08/22/1995 (over 28 years ago)
- Expiry Date: 07/02/1998 (almost 26 years ago)
LOCATIONS
A Residential
675 Winding Hills Rd. Monument CO 80132