License holder summary

STACI MARIE KIDDER is a Board Of Medicine licensed to practice in Idaho. The address on file for STACI MARIE KIDDER is 3085 Magic View Dr #180 Meridian ID 83642. This licensed professional license is current. The license was granted 06/27/2005 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

STACI MARIE KIDDER
Board Of Medicine
License number
D-468
Date granted
06/27/2005
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
3085 Magic View Dr #180 Meridian ID 83642
idaholicensing.com
ID 48344793
LAST UPDATED 2024-03-15 02:57:29 UTC

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