Idaho
Division of Occupational and Professional Licenses
MARK EDISON SAMPSON
Board Of Medicine
License number
M-6462
Date granted
05/12/1994
Date expires
06/23/1981
Class
Board Of Medicine
Status
Canceled
Address
60260 Night Hawk Rd Bend OR 97702
idaholicensing.com
ID 48359489
LAST UPDATED 2024-03-18 14:22:53 UTC
LAST UPDATED 2024-03-18 14:22:53 UTC
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