Idaho
Division of Occupational and Professional Licenses
FREDERICK SURBAUGH
Board Of Medicine
License number
M-4252
Date granted
11/22/1980
Date expires
08/01/2014
Class
Board Of Medicine
Status
Canceled
Address
1868 GALENA DRIVE TWIN FALLS ID 83301
idaholicensing.com
ID 48338890
LAST UPDATED 2024-02-21 11:44:09 UTC
LAST UPDATED 2024-02-21 11:44:09 UTC
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