License holder summary

II MICHAEL FREDERICK FADELL is a Board Of Medicine licensed to practice in Idaho. The address on file for II MICHAEL FREDERICK FADELL is VAMC BOISE ID 83702. This licensed professional license is not current. The license was granted 06/25/2003 and expired on 01/31/2005.

Idaho

Division of Occupational and Professional Licenses

II MICHAEL FREDERICK FADELL
Board Of Medicine
License number
MRM-758
Date granted
06/25/2003
Date expires
01/31/2005
Class
Board Of Medicine
Status
Canceled
Address
VAMC BOISE ID 83702
idaholicensing.com
ID 48329868
LAST UPDATED 2024-02-11 19:06:49 UTC

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