License holder summary

Dr. BARRY Benjamin STAUM is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. BARRY Benjamin STAUM is 220 CRYSTAL CT. KETCHUM ID 83340. This licensed professional license is not current. The license was granted 09/07/2012 and expired on 08/01/2014.

Idaho

Division of Occupational and Professional Licenses

Dr. BARRY Benjamin STAUM
Board Of Medicine
License number
M-11767
Date granted
09/07/2012
Date expires
08/01/2014
Class
Board Of Medicine
Status
Canceled
Address
220 CRYSTAL CT. KETCHUM ID 83340
idaholicensing.com
ID 48338886
LAST UPDATED 2024-02-22 18:50:56 UTC

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