License holder summary

MARK ALAN GRANRUD is a Board Of Medicine licensed to practice in Idaho. The address on file for MARK ALAN GRANRUD is BOISE VA MEDICAL CENTER BOISE ID 83702. This licensed professional license is not current. The license was granted 08/29/2006 and expired on 08/01/2014.

Idaho

Division of Occupational and Professional Licenses

MARK ALAN GRANRUD
Board Of Medicine
License number
PA-621
Date granted
08/29/2006
Date expires
08/01/2014
Class
Board Of Medicine
Status
Canceled
Address
BOISE VA MEDICAL CENTER BOISE ID 83702
idaholicensing.com
ID 48351720
LAST UPDATED 2024-04-27 23:56:45 UTC

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