License holder summary

ANDREA NICOLE STAHL-KOENES is a Board Of Medicine licensed to practice in Idaho. The address on file for ANDREA NICOLE STAHL-KOENES is 2150 TIPPERARY WAY MISSOULA MT 59808. This licensed professional license is not current. The license was granted 11/10/2014 and expired on 04/11/2016.

Idaho

Division of Occupational and Professional Licenses

ANDREA NICOLE STAHL-KOENES
Board Of Medicine
License number
RTS-710
Date granted
11/10/2014
Date expires
04/11/2016
Class
Board Of Medicine
Status
Expired
Address
2150 TIPPERARY WAY MISSOULA MT 59808
idaholicensing.com
ID 48334765
LAST UPDATED 2024-04-05 15:53:01 UTC

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