BRIAN WALLACE FORTUIN
Idaho M-7263 Renewed
This Idaho license is held by BRIAN WALLACE FORTUIN. The license is currently active. It was granted on 06/14/1997 and expired on 06/30/2017
LICENSE DETAILS
- License Number: M-7263
- Category: Board Of Medicine
- Status: Renewed
- Date Granted: 06/14/1997 (almost 27 years ago)
- Expiry Date: 06/30/2017 (almost 7 years ago)
LOCATIONS
A Residential
775 Pole Line Rd West TWIN FALLS ID 83301
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