Idaho
Division of Occupational and Professional Licenses
Dr. STEPHANIE EVE OWEN MCCULLOUGH
Board Of Medicine
License number
M-12192
Date granted
10/23/2013
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
777 N RAYMOND STREET BOISE ID 83704
idaholicensing.com
ID 48342646
LAST UPDATED 2024-03-20 14:14:13 UTC
LAST UPDATED 2024-03-20 14:14:13 UTC
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