Idaho
Division of Occupational and Professional Licenses
DAN E. STIPE
Board Of Medicine
License number
M-2369
Date granted
07/08/1957
Date expires
07/05/1995
Class
Board Of Medicine
Status
Canceled
Address
514 Bryden Ave Lewiston ID 83501
idaholicensing.com
ID 48354808
LAST UPDATED 2024-04-06 14:23:40 UTC
LAST UPDATED 2024-04-06 14:23:40 UTC
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