License holder summary

MARK KOWALCZYK is a Board Of Medicine licensed to practice in Idaho. The address on file for MARK KOWALCZYK is 322 E FRONT ST STE 590 BOISE ID 83702. This licensed professional license is not current. The license was granted 08/26/2015 and expired on 06/30/2016.

Idaho

Division of Occupational and Professional Licenses

MARK KOWALCZYK
Board Of Medicine
License number
MSM-0597
Date granted
08/26/2015
Date expires
06/30/2016
Class
Board Of Medicine
Status
Expired
Address
322 E FRONT ST STE 590 BOISE ID 83702
idaholicensing.com
ID 48344664
LAST UPDATED 2026-06-10 09:20:14 UTC

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