Idaho
Division of Occupational and Professional Licenses
Dr. MARK Owen MOORE
Board Of Medicine
License number
M-12018
Date granted
05/21/2013
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1888 N LODGE CREEK WAY EAGLE ID 83616
idaholicensing.com
ID 48359352
LAST UPDATED 2024-03-27 04:41:20 UTC
LAST UPDATED 2024-03-27 04:41:20 UTC
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