Idaho
Division of Occupational and Professional Licenses
MARC RYAN MANKO
Board Of Medicine
License number
PAT-1330
Date granted
10/01/2015
Date expires
08/04/2017
Class
Board Of Medicine
Status
Licensed
Address
1209 BOOTH DR POCATELLO ID 83201
idaholicensing.com
ID 48356530
LAST UPDATED 2024-02-20 07:13:11 UTC
LAST UPDATED 2024-02-20 07:13:11 UTC
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