Idaho
Division of Occupational and Professional Licenses
Dr. STACIE MARIE WELLMAN
Board Of Medicine
License number
M-11484
Date granted
11/14/2011
Date expires
08/01/2013
Class
Board Of Medicine
Status
Canceled
Address
P O BOX 1088 HETTINGER ND 58639
idaholicensing.com
ID 48357251
LAST UPDATED 2024-05-04 22:56:23 UTC
LAST UPDATED 2024-05-04 22:56:23 UTC
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