Idaho
Division of Occupational and Professional Licenses
MARK EDWARD HOLLINGSHEAD
Board Of Medicine
License number
M-6436
Date granted
03/12/1994
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
360 E MALLARD DR STE 110 BOISE ID 83706
idaholicensing.com
ID 48329918
LAST UPDATED 2024-01-27 17:34:53 UTC
LAST UPDATED 2024-01-27 17:34:53 UTC
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