Idaho
Division of Occupational and Professional Licenses
LESLEY M. FERNOW
Board Of Medicine
License number
M-3905
Date granted
01/15/1979
Date expires
07/01/1977
Class
Board Of Medicine
Status
Canceled
Address
501 West 113th Street New York NY 10025
idaholicensing.com
ID 48349696
LAST UPDATED 2024-04-02 22:13:04 UTC
LAST UPDATED 2024-04-02 22:13:04 UTC
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