Idaho
Division of Occupational and Professional Licenses
ERIC G STACKLE
Board Of Medicine
License number
M-3313
Date granted
01/05/1975
Date expires
08/01/2016
Class
Board Of Medicine
Status
Canceled
Address
PO BOX 45267 BOISE ID 83711
idaholicensing.com
ID 48356331
LAST UPDATED 2024-03-22 19:37:20 UTC
LAST UPDATED 2024-03-22 19:37:20 UTC
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