License holder summary

DR. MARK STEPHEN FASZHOLZ is a Board Of Medicine licensed to practice in Idaho. The address on file for DR. MARK STEPHEN FASZHOLZ is 1801 16TH ST GREELEY CO 80631. This licensed professional license is current. The license was granted 04/02/2013 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

DR. MARK STEPHEN FASZHOLZ
Board Of Medicine
License number
M-11967
Date granted
04/02/2013
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1801 16TH ST GREELEY CO 80631
idaholicensing.com
ID 48337807
LAST UPDATED 2024-02-25 01:36:21 UTC

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