STEVEN MARK LISS MD - Medical Doctor License in Idaho | # 036065005

STEVEN MARK LISS MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065005

License Status

INACTIVE

Business

N

First Name

STEVEN MARK

Last Name

LISS

Suffix

MD

Business Name

STEVEN MARK LISS MD

Original Issue Date

07/30/1982

Effective Date

07/30/1982

Expiration Date

07/31/2005

State

ID

Ever Disciplined

N

LastModifiedDate

10/09/2006