DR. JUAN DEDIOS FUENTES
Idaho TLM-3831 Upgraded
This Idaho license was held by DR. JUAN DEDIOS FUENTES. The license is no longer active. It was granted on 08/28/2008
LICENSE DETAILS
- License Number: TLM-3831
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 08/28/2008 (over 16 years ago)
LOCATIONS
A Residential
5444 S GREEN STREET MURRAY UT 84123