License holder summary

STACEY R DEAN is a Board Of Medicine licensed to practice in Idaho. The address on file for STACEY R DEAN is GRAND AVE MEDICAL CORVALLIS OR 97330. This licensed professional license is not current. The license was granted 07/20/1979.

Idaho

Division of Occupational and Professional Licenses

STACEY R DEAN
Board Of Medicine
License number
M-3982
Date granted
07/20/1979
Class
Board Of Medicine
Status
Surrendered
Address
GRAND AVE MEDICAL CORVALLIS OR 97330
idaholicensing.com
ID 48344925
LAST UPDATED 2024-01-01 03:48:22 UTC

This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.

Reviews

Are you familiar with STACEY R DEAN's work? Add a comment below. You can write anonymously and without having to create an account.