Idaho
Division of Occupational and Professional Licenses
MARK LELAND MAYLIN
Board Of Medicine
License number
LRT-891
Date granted
10/01/2001
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
4136 W. Cardon St. Eagle ID 83616
idaholicensing.com
ID 48339963
LAST UPDATED 2024-04-26 10:17:11 UTC
LAST UPDATED 2024-04-26 10:17:11 UTC
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