Idaho
Division of Occupational and Professional Licenses
LARAE HOLLINGER STALLSMITH
Board Of Medicine
License number
LRT-088
Date granted
11/20/1991
Date expires
07/02/2002
Class
Board Of Medicine
Status
Canceled
Address
1907 W Flamingo #29 Nampa ID 83651
idaholicensing.com
ID 48357746
LAST UPDATED 2024-03-06 22:38:53 UTC
LAST UPDATED 2024-03-06 22:38:53 UTC
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