Idaho
Division of Occupational and Professional Licenses
D JUSTIN DALE STORMOGIPSON
Board Of Medicine
License number
M-5936
Date granted
12/13/1991
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1814 Lincoln Way COEUR D ALENE ID 83814
idaholicensing.com
ID 48351213
LAST UPDATED 2024-01-24 13:16:19 UTC
LAST UPDATED 2024-01-24 13:16:19 UTC
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