Idaho
Division of Occupational and Professional Licenses
MEGHAN LEIGH FONKEN
Board Of Medicine
License number
PAT-969
Date granted
06/05/2012
Date expires
10/07/2012
Class
Board Of Medicine
Status
Expired
Address
461 W RIDGELINE DR BOISE ID 83702
idaholicensing.com
ID 48350105
LAST UPDATED 2026-04-21 03:55:50 UTC
LAST UPDATED 2026-04-21 03:55:50 UTC
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