License holder summary

MAHLON HIESTAND is a Board Of Medicine licensed to practice in Idaho. The address on file for MAHLON HIESTAND is 1020 Main St LEWISTON ID 83501. This licensed professional license is not current. The license was granted 07/11/1986 and expired on 01/21/2008.

Idaho

Division of Occupational and Professional Licenses

MAHLON HIESTAND
Board Of Medicine
License number
M-5105
Date granted
07/11/1986
Date expires
01/21/2008
Class
Board Of Medicine
Status
Surrendered
Address
1020 Main St LEWISTON ID 83501
idaholicensing.com
ID 48352330
LAST UPDATED 2024-04-07 11:25:45 UTC

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