License holder summary

MONTGOMERY COE STAFFORD is a Board Of Medicine licensed to practice in Idaho. The address on file for MONTGOMERY COE STAFFORD is 125 WOODVIEW ROAD SANDPOINT ID 83864. This licensed professional license is not current. The license was granted 12/20/1991 and expired on 08/01/2016.

Idaho

Division of Occupational and Professional Licenses

MONTGOMERY COE STAFFORD
Board Of Medicine
License number
LRT-156
Date granted
12/20/1991
Date expires
08/01/2016
Class
Board Of Medicine
Status
Canceled
Address
125 WOODVIEW ROAD SANDPOINT ID 83864
idaholicensing.com
ID 48334196
LAST UPDATED 2024-04-07 07:04:26 UTC

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