Dr. DAVID MICHAEL FANTLE
Idaho M-13397 Licensed
This Idaho license is held by Dr. DAVID MICHAEL FANTLE. The license is currently active. It was granted on 08/03/2016 and expired on 06/30/2017
LICENSE DETAILS
- License Number: M-13397
- Category: Board Of Medicine
- Status: Licensed
- Date Granted: 08/03/2016 (about 10 years ago)
- Expiry Date: 06/30/2017 (about 9 years ago)
LOCATIONS
A Residential
5121 S COTTONWOOD ST. FL14 SALT LAKE CITY UT 84107
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