MARK T. HATTENHAUER
Idaho M-4733 Canceled
This Idaho license was held by MARK T. HATTENHAUER. The license is no longer active. It was granted on 03/10/1984
LICENSE DETAILS
- License Number: M-4733
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 03/10/1984 (about 41 years ago)
LOCATIONS
A Residential
10701 S.W. 25th Street Portland OR 97219