License holder summary

Dr. DAVID MICHAEL FANTLE is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. DAVID MICHAEL FANTLE is 5121 S COTTONWOOD ST. FL14 SALT LAKE CITY UT 84107. This licensed professional license is current. The license was granted 08/03/2016 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

Dr. DAVID MICHAEL FANTLE
Board Of Medicine
License number
M-13397
Date granted
08/03/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
5121 S COTTONWOOD ST. FL14 SALT LAKE CITY UT 84107
idaholicensing.com
ID 48349599
LAST UPDATED 2024-04-08 08:25:16 UTC

This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.

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