License holder summary

Dr. MARK ALLEN STACY is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. MARK ALLEN STACY is 1512 12th Ave. S Nampa ID 83686. This licensed professional license is current. The license was granted 12/03/2014 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

Dr. MARK ALLEN STACY
Board Of Medicine
License number
O-0840
Date granted
12/03/2014
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
1512 12th Ave. S Nampa ID 83686
idaholicensing.com
ID 48344651
LAST UPDATED 2024-01-25 19:35:48 UTC

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