License holder summary

MARK R. STEPHENS is a Board Of Medicine licensed to practice in Idaho. The address on file for MARK R. STEPHENS is 181 W. Meadow Dr. Vail CO 81657. This licensed professional license is not current. The license was granted 08/02/1984.

Idaho

Division of Occupational and Professional Licenses

MARK R. STEPHENS
Board Of Medicine
License number
M-4791
Date granted
08/02/1984
Class
Board Of Medicine
Status
Canceled
Address
181 W. Meadow Dr. Vail CO 81657
idaholicensing.com
ID 48348419
LAST UPDATED 2024-02-10 22:41:36 UTC

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