Idaho
Division of Occupational and Professional Licenses
MARK P. CHRISTIANSEN
Board Of Medicine
License number
RPA-22
Date granted
01/25/1978
Date expires
10/20/1982
Class
Board Of Medicine
Status
Canceled
Address
1614 Diamond St Plaza Onawa IA 51040
idaholicensing.com
ID 48343277
LAST UPDATED 2024-02-19 06:48:07 UTC
LAST UPDATED 2024-02-19 06:48:07 UTC
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