Idaho
Division of Occupational and Professional Licenses
MARK E. LATHAM
Board Of Medicine
License number
M-4675
Date granted
08/08/1983
Date expires
08/08/1983
Class
Board Of Medicine
Status
Deceased
Address
261 Hamilton Ave -203 Palo Alto CA 94301
idaholicensing.com
ID 48338277
LAST UPDATED 2024-03-26 10:37:08 UTC
LAST UPDATED 2024-03-26 10:37:08 UTC
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