License holder summary

MARK SHAWN OTTESEN is a Board Of Medicine licensed to practice in Idaho. The address on file for MARK SHAWN OTTESEN is 22321 W MORNING GLORY ST BUCKEYE AZ 85326. This licensed professional license is not current. The license was granted 02/13/2007 and expired on 08/01/2012.

Idaho

Division of Occupational and Professional Licenses

MARK SHAWN OTTESEN
Board Of Medicine
License number
LRT-1224
Date granted
02/13/2007
Date expires
08/01/2012
Class
Board Of Medicine
Status
Canceled
Address
22321 W MORNING GLORY ST BUCKEYE AZ 85326
idaholicensing.com
ID 48361635
LAST UPDATED 2026-05-13 13:27:32 UTC

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