Idaho
Division of Occupational and Professional Licenses
FRANK ANTHONY BONIFACIO
Board Of Medicine
License number
O-304
Date granted
03/08/2003
Date expires
06/30/2003
Class
Board Of Medicine
Status
Canceled
Address
310 E 4500 S Ste 300 Salt Lake City UT 84107
idaholicensing.com
ID 48329275
LAST UPDATED 2024-04-18 01:11:57 UTC
LAST UPDATED 2024-04-18 01:11:57 UTC
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