Idaho
Division of Occupational and Professional Licenses
Dr. STEPHANIE MARIE FOSBACK
Board Of Medicine
License number
M-10741
Date granted
06/23/2009
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
825 SE Bishop Blvd PULLMAN WA 99163
idaholicensing.com
ID 48329320
LAST UPDATED 2026-03-14 20:42:27 UTC
LAST UPDATED 2026-03-14 20:42:27 UTC
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