License holder summary

MARK WAYNE CANCELLED GRIMMETT is a Board Of Medicine licensed to practice in Idaho. The address on file for MARK WAYNE CANCELLED GRIMMETT is 244 S Silverwood Way Eagle ID 83616. This licensed professional license is not current. The license was granted 10/04/1995 and expired on 06/30/1997.

Idaho

Division of Occupational and Professional Licenses

MARK WAYNE CANCELLED GRIMMETT
Board Of Medicine
License number
RPA-170
Date granted
10/04/1995
Date expires
06/30/1997
Class
Board Of Medicine
Status
Canceled
Address
244 S Silverwood Way Eagle ID 83616
idaholicensing.com
ID 48348674
LAST UPDATED 2024-04-01 23:37:55 UTC

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