Idaho
Division of Occupational and Professional Licenses
MARK DAVID WITTRY
Board Of Medicine
License number
M-9585
Date granted
05/15/2006
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
10525 CONCORD SCHOOL RD SAINT LOUIS MO 63128
idaholicensing.com
ID 48364444
LAST UPDATED 2026-05-13 06:03:11 UTC
LAST UPDATED 2026-05-13 06:03:11 UTC
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