License holder summary

MARK LAVERN MANSFIELD is a Board Of Medicine licensed to practice in Idaho. The address on file for MARK LAVERN MANSFIELD is 110 Vista Drive POCATELLO ID 83201. This licensed professional license is current. The license was granted 09/05/1995 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

MARK LAVERN MANSFIELD
Board Of Medicine
License number
M-6799
Date granted
09/05/1995
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
110 Vista Drive POCATELLO ID 83201
idaholicensing.com
ID 48350014
LAST UPDATED 2024-04-02 02:13:02 UTC

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