Idaho
Division of Occupational and Professional Licenses
DR. MARK CASH BASHAM
Board Of Medicine
License number
M-10833
Date granted
09/29/2009
Date expires
08/01/2013
Class
Board Of Medicine
Status
Canceled
Address
2801 W KINNICKINNIC RIVER PKWY MILWAUKEE WI 53215
idaholicensing.com
ID 48335971
LAST UPDATED 2024-04-21 19:59:19 UTC
LAST UPDATED 2024-04-21 19:59:19 UTC
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