License holder summary

Dr. NATHAN T STILLWAGON is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. NATHAN T STILLWAGON is 2963 E COPPER POINT DR, STE. 150 MERIDIAN ID 83642. This licensed professional license is current. The license was granted 08/02/2012 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

Dr. NATHAN T STILLWAGON
Board Of Medicine
License number
M-11728
Date granted
08/02/2012
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
2963 E COPPER POINT DR, STE. 150 MERIDIAN ID 83642
idaholicensing.com
ID 48334500
LAST UPDATED 2024-02-10 20:55:32 UTC

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