MARK T. HATTENHAUER
Idaho TLM-1431 Upgraded
This Idaho license was held by MARK T. HATTENHAUER. The license is no longer active. It was granted on 11/30/1983
LICENSE DETAILS
- License Number: TLM-1431
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 11/30/1983 (over 41 years ago)
LOCATIONS
A Residential
10701 S.W. 25th Street Portland OR 97219