MARK D YOVICHIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143273

License Status

NOT RENEWED

Business

Title

First Name

MARK

Middle

Last Name

YOVICHIN

Business Name

MARK D YOVICHIN MD

Original Issue Date

05/25/2017

Effective Date

08/24/2020

Expiration Date

07/31/2023

City

COEUR D ALENE

State

Zip

83814

County

IDAHO

Ever Disciplined

LastModifiedDate

11/30/2023