License holder summary

DANIEL JAMES FONNESBECK is a Board Of Medicine licensed to practice in Idaho. The address on file for DANIEL JAMES FONNESBECK is 4043 Oxbow Way Boise ID 83713. This licensed professional license is current. The license was granted 12/11/1991 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

DANIEL JAMES FONNESBECK
Board Of Medicine
License number
LRT-118
Date granted
12/11/1991
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
4043 Oxbow Way Boise ID 83713
idaholicensing.com
ID 48343540
LAST UPDATED 2024-02-16 06:06:03 UTC

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