Idaho
Division of Occupational and Professional Licenses
LISA MARIE STEPHENSON
Board Of Medicine
License number
LRT-1803
Date granted
07/09/2014
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
P. O. Box 748 Kellogg ID 83837
idaholicensing.com
ID 48348427
LAST UPDATED 2024-03-03 04:44:52 UTC
LAST UPDATED 2024-03-03 04:44:52 UTC
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