License holder summary

MARK OWEN SIMON is a Board Of Medicine licensed to practice in Idaho. The address on file for MARK OWEN SIMON is PO Box 70087 FAIRBANKS AK 99707. This licensed professional license is current. The license was granted 12/07/2002 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

MARK OWEN SIMON
Board Of Medicine
License number
M-8715
Date granted
12/07/2002
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
PO Box 70087 FAIRBANKS AK 99707
idaholicensing.com
ID 48354622
LAST UPDATED 2024-04-24 10:51:42 UTC

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