License holder summary

KIRSTEN STACY ANDERSON is a Board Of Medicine licensed to practice in Idaho. The address on file for KIRSTEN STACY ANDERSON is 6028 SHIRAS RD COEUR D ALENE ID 83814. This licensed professional license is current. The license was granted 05/07/1999 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

KIRSTEN STACY ANDERSON
Board Of Medicine
License number
D-316
Date granted
05/07/1999
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
6028 SHIRAS RD COEUR D ALENE ID 83814
idaholicensing.com
ID 48336659
LAST UPDATED 2024-04-23 04:52:08 UTC

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