Idaho
Division of Occupational and Professional Licenses
Dr. PAUL KENNETH STEVENS
Board Of Medicine
License number
O-0944
Date granted
04/25/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
16701 KENNEBEC STREET SOUTHGATE MI 48195
idaholicensing.com
ID 48349037
LAST UPDATED 2026-03-10 01:51:02 UTC
LAST UPDATED 2026-03-10 01:51:02 UTC
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