MARK EDWARD KIECKBUSCH
Idaho TLM-2086 Upgraded
This Idaho license was held by MARK EDWARD KIECKBUSCH. The license is no longer active. It was granted on 07/15/1992
LICENSE DETAILS
- License Number: TLM-2086
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 07/15/1992 (almost 32 years ago)
LOCATIONS
A Residential
PO Box 881 BOISE ID 83701