Idaho
Division of Occupational and Professional Licenses
BENJAMIN LEONARD FORTSON
Board Of Medicine
License number
MSM-0546
Date granted
06/16/2015
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
322 E FRONT ST SUITE 590 BOISE ID 83702
idaholicensing.com
ID 48350164
LAST UPDATED 2026-03-20 15:20:43 UTC
LAST UPDATED 2026-03-20 15:20:43 UTC
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