Idaho
Division of Occupational and Professional Licenses
JONATHAN ROBERT FIERRO
Board Of Medicine
License number
AT-463
Date granted
06/11/2013
Date expires
08/01/2014
Class
Board Of Medicine
Status
Canceled
Address
5600 N Glenwood St Boise ID 83714
idaholicensing.com
ID 48349909
LAST UPDATED 2024-05-01 06:47:52 UTC
LAST UPDATED 2024-05-01 06:47:52 UTC
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