Mark Edward Kieckbusch
Medical - Physician
Colorado 26125 Inactive
This Colorado license was held by Mark Edward Kieckbusch. The license is no longer active. It was granted on 07/19/1984 and expired on 04/30/2015
LICENSE DETAILS
- License Number: 26125
- Category: Physician
- Status: Inactive
- Date Granted: 07/19/1984 (almost 40 years ago)
- Expiry Date: 04/30/2015 (about 9 years ago)
LOCATIONS
A Address
P O Box 881, Boise, ID, 83701-0881