Idaho
Division of Occupational and Professional Licenses
MARK ALLEN HERNANDEZ
Board Of Medicine
License number
M-6092
Date granted
09/10/1992
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
290 PONDER POINT DR SANDPOINT ID 83864
idaholicensing.com
ID 48349477
LAST UPDATED 2024-02-02 20:31:24 UTC
LAST UPDATED 2024-02-02 20:31:24 UTC
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