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 2024-03-11 12:13:46 UTC
LAST UPDATED 2024-03-11 12:13:46 UTC
This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.