Idaho
Division of Occupational and Professional Licenses
Dr. MARC DENTON STAM
Board Of Medicine
License number
M-12596
Date granted
08/13/2014
Date expires
08/01/2016
Class
Board Of Medicine
Status
Canceled
Address
6708 DEERFIELD DR FORT SMITH AR 72916
idaholicensing.com
ID 48371442
LAST UPDATED 2024-02-17 12:09:46 UTC
LAST UPDATED 2024-02-17 12:09:46 UTC
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