Idaho
Division of Occupational and Professional Licenses
Dr. GORDON Kenneth MACK
Board Of Medicine
License number
M-12151
Date granted
08/29/2013
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
SL Children''s Cardiology Meridian ID 83642
idaholicensing.com
ID 48329549
LAST UPDATED 2024-03-26 22:07:59 UTC
LAST UPDATED 2024-03-26 22:07:59 UTC
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