Idaho
Division of Occupational and Professional Licenses
FAUSTIN RILEY STEVENS
Board Of Medicine
License number
M-11285
Date granted
05/10/2011
Date expires
08/03/2015
Class
Board Of Medicine
Status
Canceled
Address
6703 W Rio Grande Ave Kennewick WA 99336
idaholicensing.com
ID 48349026
LAST UPDATED 2024-05-06 02:46:56 UTC
LAST UPDATED 2024-05-06 02:46:56 UTC
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