Idaho
Division of Occupational and Professional Licenses
LIA FUSCO STEWART
Board Of Medicine
License number
MSM-0242
Date granted
05/20/2013
Date expires
05/20/2014
Class
Board Of Medicine
Status
Expired
Address
12718 LAKE CITY WAY NE APT C302 SEATTLE WA 98125
idaholicensing.com
ID 48349246
LAST UPDATED 2024-04-01 23:46:56 UTC
LAST UPDATED 2024-04-01 23:46:56 UTC
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