License holder summary

D JUSTIN DALE STORMOGIPSON is a Board Of Medicine licensed to practice in Idaho. The address on file for D JUSTIN DALE STORMOGIPSON is 1814 Lincoln Way COEUR D ALENE ID 83814. This licensed professional license is current. The license was granted 12/13/1991 and expired on 06/30/2017.

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

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