Idaho
Division of Occupational and Professional Licenses
Dr. MARK FRUIN
Board Of Medicine
License number
M-11498
Date granted
11/21/2011
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1912 E YALECREST AVE SALT LAKE CITY UT 84108
idaholicensing.com
ID 48350392
LAST UPDATED 2024-04-03 11:10:37 UTC
LAST UPDATED 2024-04-03 11:10:37 UTC
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