License holder summary

CYNTHIA LOUISE FEDOROVICH is a Board Of Medicine licensed to practice in Idaho. The address on file for CYNTHIA LOUISE FEDOROVICH is 1052 County Line Rd. Edgewood NM 87015. This licensed professional license is not current. The license was granted 02/26/1996.

Idaho

Division of Occupational and Professional Licenses

CYNTHIA LOUISE FEDOROVICH
Board Of Medicine
License number
TRT-068
Date granted
02/26/1996
Class
Board Of Medicine
Status
Canceled
Address
1052 County Line Rd. Edgewood NM 87015
idaholicensing.com
ID 48345651
LAST UPDATED 2024-04-16 03:42:28 UTC

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