MARK LEE CAPENER
Idaho TLM-3119 Upgraded
This Idaho license was held by MARK LEE CAPENER. The license is no longer active. It was granted on 11/19/2001
LICENSE DETAILS
- License Number: TLM-3119
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 11/19/2001 (over 23 years ago)
LOCATIONS
A Residential
2065 E 17th St IDAHO FALLS ID 83404