MARK LAURENCE PEDERSEN

Idaho  M-5558   Canceled

This Idaho license was held by MARK LAURENCE PEDERSEN. The license is no longer active. It was granted on 09/11/1989 and expired on 07/02/1990

LICENSE DETAILS

  • License Number: M-5558
  • Category: Board Of Medicine
  • Status: Canceled
  • Date Granted: 09/11/1989 (over 34 years ago)
  • Expiry Date: 07/02/1990 (almost 34 years ago)

LOCATIONS

A Residential

222 Kent Ct. N.E. Cedar Rapids IA 52402