License holder summary

LARRY V STAKER is a Board Of Medicine licensed to practice in Idaho. The address on file for LARRY V STAKER is 3935 WISE OWL WAY ISLAND PARK ID 83429. This licensed professional license is current. The license was granted 01/06/1975 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

LARRY V STAKER
Board Of Medicine
License number
M-3335
Date granted
01/06/1975
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
3935 WISE OWL WAY ISLAND PARK ID 83429
idaholicensing.com
ID 48335405
LAST UPDATED 2026-06-30 19:51:03 UTC

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