Idaho
Division of Occupational and Professional Licenses
MICHAEL PATRICK FANGMAN
Board Of Medicine
License number
M-9998
Date granted
06/26/2007
Date expires
08/01/2011
Class
Board Of Medicine
Status
Canceled
Address
PO BOX 271040 FORT COLLINS CO 80527
idaholicensing.com
ID 48349596
LAST UPDATED 2024-03-10 22:07:14 UTC
LAST UPDATED 2024-03-10 22:07:14 UTC
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