Utah
Division of Occupational and Professional Licensing
GORDON KENNETH MACK
Physician - Physician & Surgeon
License number
7320207-1205
Date granted
06/25/2009
Date expires
01/31/2016
Class
Physician - Physician & Surgeon
Status
Active
Address
BOISE, ID 83714
utahlicensing.org
ID 29924375
LAST UPDATED 2024-02-07 21:24:57 UTC
LAST UPDATED 2024-02-07 21:24:57 UTC
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