License holder summary

FREDRICK ALLAN EISEMAN is a Board Of Medicine licensed to practice in Idaho. The address on file for FREDRICK ALLAN EISEMAN is 17 West 9th St New York NY 10011. This licensed professional license is not current. The license was granted 09/11/1993 and expired on 07/05/1994.

Idaho

Division of Occupational and Professional Licenses

FREDRICK ALLAN EISEMAN
Board Of Medicine
License number
M-6308
Date granted
09/11/1993
Date expires
07/05/1994
Class
Board Of Medicine
Status
Canceled
Address
17 West 9th St New York NY 10011
idaholicensing.com
ID 48347596
LAST UPDATED 2024-04-23 15:17:02 UTC

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