MICHAEL PATRICK FANGMAN
Idaho M-9998 Canceled
This Idaho license was held by MICHAEL PATRICK FANGMAN. The license is no longer active. It was granted on 06/26/2007 and expired on 08/01/2011
LICENSE DETAILS
- License Number: M-9998
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 06/26/2007 (about 17 years ago)
- Expiry Date: 08/01/2011 (almost 13 years ago)
LOCATIONS
A Residential
PO BOX 271040 FORT COLLINS CO 80527