License holder summary

Dr. STACIE Lynnette OLIVER is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. STACIE Lynnette OLIVER is 1223 Wilshire Blvd #111 Santa Monica CA 90403. This licensed professional license is current. The license was granted 04/23/2014 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

Dr. STACIE Lynnette OLIVER
Board Of Medicine
License number
M-12427
Date granted
04/23/2014
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1223 Wilshire Blvd #111 Santa Monica CA 90403
idaholicensing.com
ID 48355415
LAST UPDATED 2024-02-16 11:05:41 UTC

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