License holder summary

Mark Edman Idstrom is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Mark Edman Idstrom is 4410 Pleasant Ave S, Minneapolis, MN 55409. This doctor license is not current. The license was granted 07/01/1976 and expired on 12/31/1980.

Department of Safety and Professional Services

Board of Medical Practice

Mark Edman Idstrom
Medical - Physician And Surgeon
License number
22689
Date granted
07/01/1976
Date expires
12/31/1980
Class
Medical - Physician And Surgeon
Status
Canceled
Address
4410 Pleasant Ave S, Minneapolis, MN 55409
doctorsminnesota.org
ID 22226957
LAST UPDATED 2026-03-15 22:11:23 UTC

This website is unaffiliated with the Board of Medical Practice. Please verify all information directly with the relevant official government authority.

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