Idaho
Division of Occupational and Professional Licenses
MARK EDWARD STACKLE
Board Of Medicine
License number
M-8814
Date granted
06/09/2003
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
6817 TANAGER COURT FAYETTEVILLE NC 28306
idaholicensing.com
ID 48356335
LAST UPDATED 2024-04-19 23:54:43 UTC
LAST UPDATED 2024-04-19 23:54:43 UTC
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