MS. SARA KATHLEEN FAGAN
Idaho PA-760 Canceled
This Idaho license was held by MS. SARA KATHLEEN FAGAN. The license is no longer active. It was granted on 09/03/2008 and expired on 08/03/2015
LICENSE DETAILS
- License Number: PA-760
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 09/03/2008 (over 16 years ago)
- Expiry Date: 08/03/2015 (almost 10 years ago)
LOCATIONS
A Residential
7148 SAN MIGUEL AVE BONITA CA 91902