License holder summary

NATHANIEL ORLAND STALEY is a Board Of Medicine licensed to practice in Idaho. The address on file for NATHANIEL ORLAND STALEY is 9700 LA HONTON BOISE ID 83709. This licensed professional license is current. The license was granted 07/25/2016 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

NATHANIEL ORLAND STALEY
Board Of Medicine
License number
MSO-0219
Date granted
07/25/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Complete
Address
9700 LA HONTON BOISE ID 83709
idaholicensing.com
ID 48371423
LAST UPDATED 2024-03-12 23:26:44 UTC

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