Idaho
Division of Occupational and Professional Licenses
MARK ALAN PRUITT
Board Of Medicine
License number
MSO-0042
Date granted
10/19/2012
Date expires
10/19/2013
Class
Board Of Medicine
Status
Expired
Address
200 S OSTEOPATHY APT 202B KIRKSVILLE MO 63501
idaholicensing.com
ID 48355310
LAST UPDATED 2024-03-29 11:41:16 UTC
LAST UPDATED 2024-03-29 11:41:16 UTC
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