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 2024-02-29 07:07:54 UTC
LAST UPDATED 2024-02-29 07:07:54 UTC
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