Idaho
Division of Occupational and Professional Licenses
CHARLES LITTLE STACKHOUSE
Board Of Medicine
License number
M-6812
Date granted
09/09/1995
Class
Board Of Medicine
Status
Active
Address
3010 Esperanza Rd. Keuka Park NY 14478
idaholicensing.com
ID 48356085
LAST UPDATED 2026-03-08 11:55:20 UTC
LAST UPDATED 2026-03-08 11:55:20 UTC
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