Idaho
Division of Occupational and Professional Licenses
MARK ELDON MANTEUFFEL
Board Of Medicine
License number
M-6442
Date granted
03/12/1994
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
PO BOX 2318 Coeur D Alene ID 83815
idaholicensing.com
ID 48348873
LAST UPDATED 2024-03-28 20:35:27 UTC
LAST UPDATED 2024-03-28 20:35:27 UTC
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