JOHN STUART FOUNTAIN
Idaho M-9252 Canceled
This Idaho license was held by JOHN STUART FOUNTAIN. The license is no longer active. It was granted on 04/01/2005 and expired on 08/01/2011
LICENSE DETAILS
- License Number: M-9252
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 04/01/2005 (about 19 years ago)
- Expiry Date: 08/01/2011 (over 12 years ago)
LOCATIONS
A Residential
50 LAKESHORE RD OSWEGO NY 13126