Idaho
Division of Occupational and Professional Licenses
DAN S FAIRMAN
Board Of Medicine
License number
M-4921
Date granted
07/16/1985
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
100 Hospital Dr Ste 201 KETCHUM ID 83340
idaholicensing.com
ID 48334934
LAST UPDATED 2024-02-26 11:02:50 UTC
LAST UPDATED 2024-02-26 11:02:50 UTC
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