License holder summary

MS. SARA KATHLEEN FAGAN is a Board Of Medicine licensed to practice in Idaho. The address on file for MS. SARA KATHLEEN FAGAN is 7148 SAN MIGUEL AVE BONITA CA 91902. This licensed professional license is not current. The license was granted 09/03/2008 and expired on 08/03/2015.

Idaho

Division of Occupational and Professional Licenses

MS. SARA KATHLEEN FAGAN
Board Of Medicine
License number
PA-760
Date granted
09/03/2008
Date expires
08/03/2015
Class
Board Of Medicine
Status
Canceled
Address
7148 SAN MIGUEL AVE BONITA CA 91902
idaholicensing.com
ID 48334299
LAST UPDATED 2024-04-05 20:29:29 UTC

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