Idaho
Division of Occupational and Professional Licenses
Dr. DAVID EDUARDO FONSECA
Board Of Medicine
License number
M-11826
Date granted
11/13/2012
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
2347 East Gala Street Meridian ID 83642
idaholicensing.com
ID 48346767
LAST UPDATED 2024-02-19 15:04:53 UTC
LAST UPDATED 2024-02-19 15:04:53 UTC
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