Idaho
Division of Occupational and Professional Licenses
Dr. STEPHEN FULLER
Board Of Medicine
License number
M-12268
Date granted
12/31/2013
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
16001 QUARRY ROAD LAKE OSWEGO OR 97035
idaholicensing.com
ID 48350463
LAST UPDATED 2024-02-24 22:51:47 UTC
LAST UPDATED 2024-02-24 22:51:47 UTC
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