Idaho
Division of Occupational and Professional Licenses
Dr. JOHN DOUGLAS STACEY
Board Of Medicine
License number
O-0808
Date granted
07/01/2014
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1564 UPLAND PL MEDFORD OR 97504
idaholicensing.com
ID 48342939
LAST UPDATED 2024-01-09 19:48:45 UTC
LAST UPDATED 2024-01-09 19:48:45 UTC
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