License holder summary

MARK ALBERT MICEK is a Board Of Medicine licensed to practice in Idaho. The address on file for MARK ALBERT MICEK is 1012 N 39th St #A Seattle WA 98103. This licensed professional license is not current. The license was granted 06/01/1996 and expired on 07/02/1998.

Idaho

Division of Occupational and Professional Licenses

MARK ALBERT MICEK
Board Of Medicine
License number
M-7013
Date granted
06/01/1996
Date expires
07/02/1998
Class
Board Of Medicine
Status
Canceled
Address
1012 N 39th St #A Seattle WA 98103
idaholicensing.com
ID 48342808
LAST UPDATED 2024-03-07 14:16:48 UTC

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