Idaho
Division of Occupational and Professional Licenses
DANA CHERISE FONG
Board Of Medicine
License number
MRM-0952
Date granted
07/01/2007
Date expires
06/30/2008
Class
Board Of Medicine
Status
Expired
Address
500 W FORT ST BOISE ID 83702
idaholicensing.com
ID 48350103
LAST UPDATED 2024-03-22 21:07:59 UTC
LAST UPDATED 2024-03-22 21:07:59 UTC
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