License holder summary

GENE RICHARD PROFANT is a Board Of Medicine licensed to practice in Idaho. The address on file for GENE RICHARD PROFANT is 9330 CLASSIC DR NE LACEY WA 98516. This licensed professional license is not current. The license was granted 06/01/1996 and expired on 08/01/2014.

Idaho

Division of Occupational and Professional Licenses

GENE RICHARD PROFANT
Board Of Medicine
License number
M-7015
Date granted
06/01/1996
Date expires
08/01/2014
Class
Board Of Medicine
Status
Canceled
Address
9330 CLASSIC DR NE LACEY WA 98516
idaholicensing.com
ID 48349648
LAST UPDATED 2026-04-22 16:55:02 UTC

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