License holder summary

CHARLES LITTLE STACKHOUSE is a Board Of Medicine licensed to practice in Idaho. The address on file for CHARLES LITTLE STACKHOUSE is 3010 Esperanza Rd. Keuka Park NY 14478. This licensed professional license is current. The license was granted 09/09/1995.

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

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