License holder summary

JONATHAN LEROY STOCKWELL is a Board Of Medicine licensed to practice in Idaho. The address on file for JONATHAN LEROY STOCKWELL is 921 MEADOWBROOK LANE Nampa ID 83686. This licensed professional license is current. The license was granted 07/14/2009 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

JONATHAN LEROY STOCKWELL
Board Of Medicine
License number
LRT-1390
Date granted
07/14/2009
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
921 MEADOWBROOK LANE Nampa ID 83686
idaholicensing.com
ID 48356865
LAST UPDATED 2024-02-05 22:26:28 UTC

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