Idaho
Division of Occupational and Professional Licenses
MARK EDWARD KIECKBUSCH
Board Of Medicine
License number
M-6070
Date granted
09/12/1992
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
PO Box 881 BOISE ID 83701
idaholicensing.com
ID 48342168
LAST UPDATED 2024-01-31 02:09:52 UTC
LAST UPDATED 2024-01-31 02:09:52 UTC
This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.