License holder summary

GREGORY JOHN FORTIN is a Board Of Medicine licensed to practice in Idaho. The address on file for GREGORY JOHN FORTIN is 920 Ironwood Dr. Coeur d Alene ID 83814. This licensed professional license is not current. The license was granted 08/16/1985 and expired on 07/02/1990.

Idaho

Division of Occupational and Professional Licenses

GREGORY JOHN FORTIN
Board Of Medicine
License number
M-4962
Date granted
08/16/1985
Date expires
07/02/1990
Class
Board Of Medicine
Status
Canceled
Address
920 Ironwood Dr. Coeur d Alene ID 83814
idaholicensing.com
ID 48350161
LAST UPDATED 2024-02-14 07:13:11 UTC

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