GREGORY JOHN FORTIN
Idaho TLM-1534 Upgraded
This Idaho license was held by GREGORY JOHN FORTIN. The license is no longer active. It was granted on 07/23/1985
LICENSE DETAILS
- License Number: TLM-1534
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 07/23/1985 (almost 39 years ago)
LOCATIONS
A Residential
920 Ironwood Dr. Coeur d Alene ID 83814