License holder summary

Dr. STEPHANIE EVE OWEN MCCULLOUGH is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. STEPHANIE EVE OWEN MCCULLOUGH is 777 N RAYMOND STREET BOISE ID 83704. This licensed professional license is current. The license was granted 10/23/2013 and expired on 06/30/2017.

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 2026-06-01 12:15:56 UTC

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