Idaho
Division of Occupational and Professional Licenses
MICHAEL WARD FOUTZ
Board Of Medicine
License number
DPHY-8658
Date granted
08/25/2005
Date expires
12/31/2007
Class
Board Of Medicine
Status
Canceled
Address
943 N LINDER RD STE 103 KUNA ID 83634
idaholicensing.com
ID 48350211
LAST UPDATED 2024-03-09 22:17:05 UTC
LAST UPDATED 2024-03-09 22:17:05 UTC
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