Idaho
Division of Occupational and Professional Licenses
JUAN CARLOS FUENTES-ROSALES
Board Of Medicine
License number
MRM-1265
Date granted
05/23/2012
Date expires
05/23/2013
Class
Board Of Medicine
Status
Expired
Address
5 TUDOR PLACE APT 224 NEW YORK NY 10017
idaholicensing.com
ID 48348526
LAST UPDATED 2024-05-02 00:17:34 UTC
LAST UPDATED 2024-05-02 00:17:34 UTC
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