License holder summary

STACEY JENNIFER LITTLETON is a Board Of Medicine licensed to practice in Idaho. The address on file for STACEY JENNIFER LITTLETON is 817 W. "C" St. Moscow ID 83843. This licensed professional license is not current. The license was granted 09/29/1994 and expired on 07/05/1995.

Idaho

Division of Occupational and Professional Licenses

STACEY JENNIFER LITTLETON
Board Of Medicine
License number
LRT-462
Date granted
09/29/1994
Date expires
07/05/1995
Class
Board Of Medicine
Status
Canceled
Address
817 W. "C" St. Moscow ID 83843
idaholicensing.com
ID 48348717
LAST UPDATED 2024-04-07 07:51:37 UTC

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