Idaho
Division of Occupational and Professional Licenses
Dr. STACEY PORTERFIELD
Board Of Medicine
License number
O-0604
Date granted
03/10/2011
Class
Board Of Medicine
Status
Surrendered
Address
275 W LOCUST ST SHELLEY ID 83274
idaholicensing.com
ID 48350021
LAST UPDATED 2024-05-03 11:14:08 UTC
LAST UPDATED 2024-05-03 11:14:08 UTC
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