Idaho
Division of Occupational and Professional Licenses
SUSAN FREDRIKSEN
Board Of Medicine
License number
M-5367
Date granted
06/18/1988
Date expires
06/01/1978
Class
Board Of Medicine
Status
Canceled
Address
Kootenai Med. Ctr. COEUR D ALENE ID 83814
idaholicensing.com
ID 48345809
LAST UPDATED 2024-03-26 16:22:05 UTC
LAST UPDATED 2024-03-26 16:22:05 UTC
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