License holder summary

LISA DEANNA STILLER is a Board Of Medicine licensed to practice in Idaho. The address on file for LISA DEANNA STILLER is 1054 TERRA DR MOSCOW ID 83843. This licensed professional license is not current. The license was granted 10/05/2001 and expired on 08/01/2008.

Idaho

Division of Occupational and Professional Licenses

LISA DEANNA STILLER
Board Of Medicine
License number
M-8336
Date granted
10/05/2001
Date expires
08/01/2008
Class
Board Of Medicine
Status
Canceled
Address
1054 TERRA DR MOSCOW ID 83843
idaholicensing.com
ID 48371713
LAST UPDATED 2024-03-29 23:13:22 UTC

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