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
LAST UPDATED 2024-03-07 14:16:48 UTC
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