Idaho
Division of Occupational and Professional Licenses
MARK RANDALL SHI
Board Of Medicine
License number
MSM-0310
Date granted
06/19/2013
Date expires
06/30/2014
Class
Board Of Medicine
Status
Expired
Address
3202 15TH AVE S SEATTLE WA 98144
idaholicensing.com
ID 48352591
LAST UPDATED 2024-04-20 16:56:50 UTC
LAST UPDATED 2024-04-20 16:56:50 UTC
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