License holder summary

MARK DAVID MIFFLIN is a Board Of Medicine licensed to practice in Idaho. The address on file for MARK DAVID MIFFLIN is JOHN MORAN EYE CENTER SALT LAKE CITY UT 84132. This licensed professional license is not current. The license was granted 09/09/1995 and expired on 08/01/2012.

Idaho

Division of Occupational and Professional Licenses

MARK DAVID MIFFLIN
Board Of Medicine
License number
M-6838
Date granted
09/09/1995
Date expires
08/01/2012
Class
Board Of Medicine
Status
Canceled
Address
JOHN MORAN EYE CENTER SALT LAKE CITY UT 84132
idaholicensing.com
ID 48349849
LAST UPDATED 2024-02-15 06:11:25 UTC

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