Idaho
Division of Occupational and Professional Licenses
JOHN WILLIAM FORAGE
Board Of Medicine
License number
M-8075
Date granted
09/09/2000
Date expires
06/30/2004
Class
Board Of Medicine
Status
Canceled
Address
2315 8th St Lewiston ID 83501
idaholicensing.com
ID 48334309
LAST UPDATED 2024-02-18 10:02:12 UTC
LAST UPDATED 2024-02-18 10:02:12 UTC
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