License holder summary

PENNY MICHELLE FAIRES is a Board Of Medicine licensed to practice in Idaho. The address on file for PENNY MICHELLE FAIRES is 7210 ROOSEVELT WAY NE SEATTLE WA 98115. This licensed professional license is not current. The license was granted 03/21/2007 and expired on 08/01/2008.

Idaho

Division of Occupational and Professional Licenses

PENNY MICHELLE FAIRES
Board Of Medicine
License number
M-9861
Date granted
03/21/2007
Date expires
08/01/2008
Class
Board Of Medicine
Status
Canceled
Address
7210 ROOSEVELT WAY NE SEATTLE WA 98115
idaholicensing.com
ID 48334928
LAST UPDATED 2024-03-21 14:39:28 UTC

This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.

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