JUAN CARLOS FUENTES-ROSALES
Idaho MRM-1265 Expired
This Idaho license was held by JUAN CARLOS FUENTES-ROSALES. The license is no longer active. It was granted on 05/23/2012 and expired on 05/23/2013
LICENSE DETAILS
- License Number: MRM-1265
- Category: Board Of Medicine
- Status: Expired
- Date Granted: 05/23/2012 (almost 13 years ago)
- Expiry Date: 05/23/2013 (almost 12 years ago)
LOCATIONS
A Residential
5 TUDOR PLACE APT 224 NEW YORK NY 10017