License holder summary

ETHAN THOMAS FEUERBORN is a Board Of Medicine licensed to practice in Idaho. The address on file for ETHAN THOMAS FEUERBORN is 500 W. Fort St. Boise ID 83702. This licensed professional license is current. The license was granted 06/11/2014 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

ETHAN THOMAS FEUERBORN
Board Of Medicine
License number
MRO-1425
Date granted
06/11/2014
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
500 W. Fort St. Boise ID 83702
idaholicensing.com
ID 48341422
LAST UPDATED 2024-03-03 10:57:44 UTC

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