Idaho
Division of Occupational and Professional Licenses
MARTY J. STUFFLEBEAM
Board Of Medicine
License number
LRT-132
Date granted
12/11/1991
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
23288 Freeze Out Rd CALDWELL ID 83607
idaholicensing.com
ID 48346624
LAST UPDATED 2024-03-27 15:51:36 UTC
LAST UPDATED 2024-03-27 15:51:36 UTC
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