STEVEN JOSEPH FONKEN
Idaho TLM-2896 Upgraded
This Idaho license was held by STEVEN JOSEPH FONKEN. The license is no longer active. It was granted on 01/07/2000
LICENSE DETAILS
- License Number: TLM-2896
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 01/07/2000 (over 25 years ago)
LOCATIONS
A Residential
6140 W CURTISIAN AVE #200 BOISE ID 83704