Idaho
Division of Occupational and Professional Licenses
JONATHAN CHARLES FAUSETT
Board Of Medicine
License number
MSO-0173
Date granted
09/17/2015
Date expires
06/30/2016
Class
Board Of Medicine
Status
Expired
Address
465 MEMORIAL DR. POCATELLO ID 83201
idaholicensing.com
ID 48338594
LAST UPDATED 2024-04-22 19:59:31 UTC
LAST UPDATED 2024-04-22 19:59:31 UTC
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