License holder summary

JONATHAN FAHED SUBAITANI is a Board Of Medicine licensed to practice in Idaho. The address on file for JONATHAN FAHED SUBAITANI is 1378 E 1900 N LOGAN UT 84341. This licensed professional license is current. The license was granted 06/06/2016.

Idaho

Division of Occupational and Professional Licenses

JONATHAN FAHED SUBAITANI
Board Of Medicine
License number
PAT-1389
Date granted
06/06/2016
Class
Board Of Medicine
Status
Licensed
Address
1378 E 1900 N LOGAN UT 84341
idaholicensing.com
ID 48335093
LAST UPDATED 2024-02-20 09:23:24 UTC

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