Idaho
Division of Occupational and Professional Licenses
MARK ALLEN BERGER
Board Of Medicine
License number
LRT-522
Date granted
10/16/1995
Date expires
08/01/2016
Class
Board Of Medicine
Status
Canceled
Address
1408 E COUGAR CREEK DR MERIDIAN ID 83646
idaholicensing.com
ID 48340621
LAST UPDATED 2024-04-13 10:25:51 UTC
LAST UPDATED 2024-04-13 10:25:51 UTC
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