Idaho
Division of Occupational and Professional Licenses
MADISON THAYER STUMPF
Board Of Medicine
License number
AT-547
Date granted
06/25/2015
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
2201 W Dorian Boise ID 83705
idaholicensing.com
ID 48359496
LAST UPDATED 2024-03-02 06:18:06 UTC
LAST UPDATED 2024-03-02 06:18:06 UTC
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