Idaho
Division of Occupational and Professional Licenses
DENNY J MACK
Board Of Medicine
License number
MSO-0175
Date granted
09/25/2015
Date expires
06/30/2016
Class
Board Of Medicine
Status
Expired
Address
465 MEMORIAL DR. POCATELLO ID 83201
idaholicensing.com
ID 48329546
LAST UPDATED 2024-03-31 14:10:02 UTC
LAST UPDATED 2024-03-31 14:10:02 UTC
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