Idaho
Division of Occupational and Professional Licenses
STEPHEN HARLAND STOSICH
Board Of Medicine
License number
LRT-1133
Date granted
10/05/2005
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
5146 HENRY AVE POCATELLO ID 83202
idaholicensing.com
ID 48367978
LAST UPDATED 2024-02-26 16:02:19 UTC
LAST UPDATED 2024-02-26 16:02:19 UTC
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