License holder summary

MICHAEL EMERIC MOCKOVAK is a Board Of Medicine licensed to practice in Idaho. The address on file for MICHAEL EMERIC MOCKOVAK is 900 SW 16TH ST STE 200 RENTON WA 98055. This licensed professional license is not current. The license was granted 09/19/2006 and expired on 08/01/2009.

Idaho

Division of Occupational and Professional Licenses

MICHAEL EMERIC MOCKOVAK
Board Of Medicine
License number
M-9710
Date granted
09/19/2006
Date expires
08/01/2009
Class
Board Of Medicine
Status
Canceled
Address
900 SW 16TH ST STE 200 RENTON WA 98055
idaholicensing.com
ID 48335345
LAST UPDATED 2024-02-27 04:53:01 UTC

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