Idaho
Division of Occupational and Professional Licenses
Dr. MARK ANDREW HIESTERMAN
Board Of Medicine
License number
O-0670
Date granted
06/04/2012
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
16201 E Indiana Ave Spokane Valley WA 99216
idaholicensing.com
ID 48352332
LAST UPDATED 2024-05-05 10:06:32 UTC
LAST UPDATED 2024-05-05 10:06:32 UTC
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