Alabama
Board of Licensing
Basil Duane Fossum
Medical - Medical Doctor
License number
MD.12871
Date granted
07/23/1986
Date expires
12/31/1994
Class
Medical - Medical Doctor
Status
Inactive
Address
Ft Walton Beach, Florida
alabamalicensing.org
ID 21357193
LAST UPDATED 2024-03-07 10:38:18 UTC
LAST UPDATED 2024-03-07 10:38:18 UTC
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