License holder summary

STACY LEA CONNOLLY is a Board Of Medicine licensed to practice in Idaho. The address on file for STACY LEA CONNOLLY is 9367 W MARIGOLD Garden City ID 83714. This licensed professional license is current. The license was granted 06/25/2009 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

STACY LEA CONNOLLY
Board Of Medicine
License number
LRT-1386
Date granted
06/25/2009
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
9367 W MARIGOLD Garden City ID 83714
idaholicensing.com
ID 48344095
LAST UPDATED 2024-05-17 04:58:54 UTC

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