License holder summary

DIANE GABRIELSEN FAGER is a Board Of Medicine licensed to practice in Idaho. The address on file for DIANE GABRIELSEN FAGER is 16404 NE 127TH ST KEARNEY MO 64060. This licensed professional license is current. The license was granted 07/29/1997 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

DIANE GABRIELSEN FAGER
Board Of Medicine
License number
D-266
Date granted
07/29/1997
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
16404 NE 127TH ST KEARNEY MO 64060
idaholicensing.com
ID 48334302
LAST UPDATED 2024-05-16 12:09:29 UTC

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