License holder summary

BRIAN WALLACE FORTUIN is a Board Of Medicine licensed to practice in Idaho. The address on file for BRIAN WALLACE FORTUIN is 775 Pole Line Rd West TWIN FALLS ID 83301. This licensed professional license is current. The license was granted 06/14/1997 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

BRIAN WALLACE FORTUIN
Board Of Medicine
License number
M-7263
Date granted
06/14/1997
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
775 Pole Line Rd West TWIN FALLS ID 83301
idaholicensing.com
ID 48350165
LAST UPDATED 2026-05-15 10:52:50 UTC

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