License holder summary

AUDRA JEANETTE STEVENS is a Board Of Medicine licensed to practice in Idaho. The address on file for AUDRA JEANETTE STEVENS is 3450 POTOMAC WAY IDAHO FALLS ID 83404. This licensed professional license is current. The license was granted 04/17/2007 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

AUDRA JEANETTE STEVENS
Board Of Medicine
License number
PA-672
Date granted
04/17/2007
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
3450 POTOMAC WAY IDAHO FALLS ID 83404
idaholicensing.com
ID 48349022
LAST UPDATED 2026-04-24 17:17:11 UTC

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