Idaho
Division of Occupational and Professional Licenses
FRED RICHARD STARK
Board Of Medicine
License number
M-8770
Date granted
04/04/2003
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
932 W IDAHO AVE ONTARIO OR 97914
idaholicensing.com
ID 48362634
LAST UPDATED 2024-03-17 04:27:13 UTC
LAST UPDATED 2024-03-17 04:27:13 UTC
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