Idaho
Division of Occupational and Professional Licenses
TISHA LEE FONCE
Board Of Medicine
License number
D-619
Date granted
02/23/2010
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
4297 N RHODES AVE MERIDIAN ID 83646
idaholicensing.com
ID 48342759
LAST UPDATED 2024-04-17 13:51:44 UTC
LAST UPDATED 2024-04-17 13:51:44 UTC
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