Idaho
Division of Occupational and Professional Licenses
LYLE J. FAGNAN
Board Of Medicine
License number
M-3406
Date granted
07/15/1975
Date expires
07/01/1972
Class
Board Of Medicine
Status
Canceled
Address
Dunes Family Health Care Reedsport OR 97467
idaholicensing.com
ID 48334304
LAST UPDATED 2024-04-11 14:20:18 UTC
LAST UPDATED 2024-04-11 14:20:18 UTC
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