License holder summary

ANITA LEA STAUDENMAYER is a Board Of Medicine licensed to practice in Idaho. The address on file for ANITA LEA STAUDENMAYER is 9605 Ptarmigan Dr. Hayden ID 83835. This licensed professional license is not current. The license was granted 12/06/1995 and expired on 07/03/1997.

Idaho

Division of Occupational and Professional Licenses

ANITA LEA STAUDENMAYER
Board Of Medicine
License number
LRT-532
Date granted
12/06/1995
Date expires
07/03/1997
Class
Board Of Medicine
Status
Canceled
Address
9605 Ptarmigan Dr. Hayden ID 83835
idaholicensing.com
ID 48338880
LAST UPDATED 2024-03-04 00:41:08 UTC

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