License holder summary

DEBORAH JEAN STORY is a Board Of Medicine licensed to practice in Idaho. The address on file for DEBORAH JEAN STORY is 23353 CARLISLE AVE HAZEL PARK MI 48030. This licensed professional license is current. The license was granted 08/15/2016 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

DEBORAH JEAN STORY
Board Of Medicine
License number
LRT-1978
Date granted
08/15/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
23353 CARLISLE AVE HAZEL PARK MI 48030
idaholicensing.com
ID 48364399
LAST UPDATED 2024-02-11 12:40:42 UTC

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