Idaho
Division of Occupational and Professional Licenses
MAX S. LUNDBERG
Board Of Medicine
License number
M-5855
Date granted
08/03/1991
Date expires
07/02/1993
Class
Board Of Medicine
Status
Canceled
Address
9844 S. 1300 E. Ste 350 Sandy UT 84094
idaholicensing.com
ID 48344753
LAST UPDATED 2024-02-17 00:03:47 UTC
LAST UPDATED 2024-02-17 00:03:47 UTC
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