License holder summary

GARY ALLEN FASSETT is a Board Of Medicine licensed to practice in Idaho. The address on file for GARY ALLEN FASSETT is 1723 Nevada Dr Unit A Grand Forks AFB ND 58204. This licensed professional license is not current. The license was granted 03/30/1999 and expired on 06/30/2003.

Idaho

Division of Occupational and Professional Licenses

GARY ALLEN FASSETT
Board Of Medicine
License number
LRT-761
Date granted
03/30/1999
Date expires
06/30/2003
Class
Board Of Medicine
Status
Canceled
Address
1723 Nevada Dr Unit A Grand Forks AFB ND 58204
idaholicensing.com
ID 48337806
LAST UPDATED 2024-03-01 10:50:36 UTC

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