FRANK ANTHONY BONIFACIO
Idaho TLO-3291 Upgraded
This Idaho license was held by FRANK ANTHONY BONIFACIO. The license is no longer active. It was granted on 12/19/2002
LICENSE DETAILS
- License Number: TLO-3291
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 12/19/2002 (over 21 years ago)
LOCATIONS
A Residential
310 E 4500 S Ste 300 Salt Lake City UT 84107