Idaho
Division of Occupational and Professional Licenses
Dr. MARK Randall ENSMINGER
Board Of Medicine
License number
M-12457
Date granted
05/12/2014
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
2280 American Legion Blvd Mountain Home ID 83647
idaholicensing.com
ID 48350797
LAST UPDATED 2024-03-07 01:53:13 UTC
LAST UPDATED 2024-03-07 01:53:13 UTC
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