License holder summary

DAVID P. MIRKIN is a Board Of Medicine licensed to practice in Idaho. The address on file for DAVID P. MIRKIN is 4814 S. Fortuna Way Salt Lake City UT 84124. This licensed professional license is not current. The license was granted 07/11/1981 and expired on 06/30/1988.

Idaho

Division of Occupational and Professional Licenses

DAVID P. MIRKIN
Board Of Medicine
License number
M-4365
Date granted
07/11/1981
Date expires
06/30/1988
Class
Board Of Medicine
Status
Canceled
Address
4814 S. Fortuna Way Salt Lake City UT 84124
idaholicensing.com
ID 48354874
LAST UPDATED 2024-04-08 05:07:56 UTC

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