Idaho
Division of Occupational and Professional Licenses
MICHEAL WARD FOUTZ
Board Of Medicine
License number
MRM-662
Date granted
07/01/2001
Class
Board Of Medicine
Status
Canceled
Address
777 N RAYMOND ST BOISE ID 83704
idaholicensing.com
ID 48350214
LAST UPDATED 2024-01-05 06:20:52 UTC
LAST UPDATED 2024-01-05 06:20:52 UTC
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