License holder summary

DR. JUAN DEDIOS FUENTES is a Board Of Medicine licensed to practice in Idaho. The address on file for DR. JUAN DEDIOS FUENTES is 5444 S GREEN STREET MURRAY UT 84123. This licensed professional license is current. The license was granted 09/08/2008 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

DR. JUAN DEDIOS FUENTES
Board Of Medicine
License number
M-10423
Date granted
09/08/2008
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
5444 S GREEN STREET MURRAY UT 84123
idaholicensing.com
ID 48348524
LAST UPDATED 2024-04-06 02:33:45 UTC

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