MAUREEN ALICE MACK
Idaho M-6047 Canceled
This Idaho license was held by MAUREEN ALICE MACK. The license is no longer active. It was granted on 08/11/1992 and expired on 06/30/2005
LICENSE DETAILS
- License Number: M-6047
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 08/11/1992 (almost 33 years ago)
- Expiry Date: 06/30/2005 (about 20 years ago)
LOCATIONS
A Residential
PO Box 1045 Union OR 97883