Idaho
Division of Occupational and Professional Licenses
MR. MARK EDWARD EMBREY
Board Of Medicine
License number
LRT-1651
Date granted
08/20/2012
Date expires
08/01/2013
Class
Board Of Medicine
Status
Canceled
Address
2701 HARVARD ST. FORT COLLINS CO 80525
idaholicensing.com
ID 48348104
LAST UPDATED 2024-02-16 02:24:24 UTC
LAST UPDATED 2024-02-16 02:24:24 UTC
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