Idaho
Division of Occupational and Professional Licenses
SARA KATHLEEN FAGAN
Board Of Medicine
License number
PAT-498
Date granted
09/14/2006
Date expires
08/03/2008
Class
Board Of Medicine
Status
Expired
Address
7148 SAN MIGUEL AVE BONITA CA 91902
idaholicensing.com
ID 48334300
LAST UPDATED 2024-04-13 20:28:22 UTC
LAST UPDATED 2024-04-13 20:28:22 UTC
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