Idaho
Division of Occupational and Professional Licenses
CASEY JOHN FATZ
Board Of Medicine
License number
M-9034
Date granted
04/26/2004
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
Kootenai Imaging Coeur d Alene ID 83814
idaholicensing.com
ID 48338145
LAST UPDATED 2024-02-04 05:44:18 UTC
LAST UPDATED 2024-02-04 05:44:18 UTC
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