License holder summary

MARK L. MANSFIELD is a Board Of Medicine licensed to practice in Idaho. The address on file for MARK L. MANSFIELD is 1515 El Rancho Blvd Pocatello ID 83201. This licensed professional license is not current. The license was granted 06/27/1994.

Idaho

Division of Occupational and Professional Licenses

MARK L. MANSFIELD
Board Of Medicine
License number
MRM-423
Date granted
06/27/1994
Class
Board Of Medicine
Status
Canceled
Address
1515 El Rancho Blvd Pocatello ID 83201
idaholicensing.com
ID 48350015
LAST UPDATED 2024-04-06 08:29:25 UTC

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