License holder summary

Dr. STACEY RAE NIEDER is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. STACEY RAE NIEDER is 4001 DALE STREET ANCHORAGE AK 99508. This licensed professional license is current. The license was granted 10/27/2014 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

Dr. STACEY RAE NIEDER
Board Of Medicine
License number
M-12700
Date granted
10/27/2014
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
4001 DALE STREET ANCHORAGE AK 99508
idaholicensing.com
ID 48346871
LAST UPDATED 2024-04-25 21:46:54 UTC

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