License holder summary

Mark Edward Kieckbusch is a Medical - Physician licensed to practice in Colorado. The address on file for Mark Edward Kieckbusch is P O Box 881, Boise, ID, 83701-0881. This licensed professional license is not current. The license was granted 07/19/1984 and expired on 04/30/2015.

Colorado

Division of Professions and Occupations

Mark Edward Kieckbusch
Medical - Physician
License number
26125
Date granted
07/19/1984
Date expires
04/30/2015
Class
Medical - Physician
Status
Inactive
Address
P O Box 881, Boise, ID, 83701-0881
coloradolicensing.org
ID 27454974
LAST UPDATED 2026-07-03 09:05:33 UTC

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