Idaho
Division of Occupational and Professional Licenses
Dr. STAN AUSTIN EISELE
Board Of Medicine
License number
M-8628
Date granted
09/14/2002
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
3025 W CHERRY LANE MERIDIAN ID 83642
idaholicensing.com
ID 48347594
LAST UPDATED 2024-04-23 02:55:25 UTC
LAST UPDATED 2024-04-23 02:55:25 UTC
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