Idaho
Division of Occupational and Professional Licenses
MAUREEN ALICE MACK
Board Of Medicine
License number
M-6047
Date granted
08/11/1992
Date expires
06/30/2005
Class
Board Of Medicine
Status
Canceled
Address
PO Box 1045 Union OR 97883
idaholicensing.com
ID 48329552
LAST UPDATED 2026-04-06 03:35:45 UTC
LAST UPDATED 2026-04-06 03:35:45 UTC
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