License holder summary

CHARLENE DIANE STEVENS is a Board Of Medicine licensed to practice in Idaho. The address on file for CHARLENE DIANE STEVENS is 408 S 5TH ST HAMILTON MT 59840. This licensed professional license is not current. The license was granted 04/17/2009 and expired on 04/13/2010.

Idaho

Division of Occupational and Professional Licenses

CHARLENE DIANE STEVENS
Board Of Medicine
License number
RTS-175
Date granted
04/17/2009
Date expires
04/13/2010
Class
Board Of Medicine
Status
Expired
Address
408 S 5TH ST HAMILTON MT 59840
idaholicensing.com
ID 48349023
LAST UPDATED 2024-04-15 15:53:33 UTC

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