License holder summary

LUIS MANUEL FERNANDEZ is a Board Of Medicine licensed to practice in Idaho. The address on file for LUIS MANUEL FERNANDEZ is 500 SOUTH 11TH AVE STE 303 POCATELLO ID 83204. This licensed professional license is current. The license was granted 08/23/2002 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

LUIS MANUEL FERNANDEZ
Board Of Medicine
License number
M-8581
Date granted
08/23/2002
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
500 SOUTH 11TH AVE STE 303 POCATELLO ID 83204
idaholicensing.com
ID 48349446
LAST UPDATED 2024-04-11 14:09:27 UTC

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