License holder summary

STACIE MARIE WELLMAN is a Board Of Medicine licensed to practice in Idaho. The address on file for STACIE MARIE WELLMAN is 465 MEMORIAL DR POCATELLO ID 83201. This licensed professional license is not current. The license was granted 05/25/2010 and expired on 06/30/2013.

Idaho

Division of Occupational and Professional Licenses

STACIE MARIE WELLMAN
Board Of Medicine
License number
MRM-1112
Date granted
05/25/2010
Date expires
06/30/2013
Class
Board Of Medicine
Status
Expired
Address
465 MEMORIAL DR POCATELLO ID 83201
idaholicensing.com
ID 48357250
LAST UPDATED 2024-04-21 10:10:37 UTC

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