License holder summary

Dr. STEPHANIE BLAIR LONG is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. STEPHANIE BLAIR LONG is 1691 The Alameda San Jose CA 95126. This licensed professional license is current. The license was granted 12/08/2010 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

Dr. STEPHANIE BLAIR LONG
Board Of Medicine
License number
M-11169
Date granted
12/08/2010
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1691 The Alameda San Jose CA 95126
idaholicensing.com
ID 48357337
LAST UPDATED 2024-03-02 07:28:10 UTC

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