License holder summary

STACY LEE COLLETT is a Board Of Medicine licensed to practice in Idaho. The address on file for STACY LEE COLLETT is 3700 S. Westport Ave. #1469 Sioux Falls SD 57106. This licensed professional license is not current. The license was granted 12/03/2002 and expired on 06/30/2005.

Idaho

Division of Occupational and Professional Licenses

STACY LEE COLLETT
Board Of Medicine
License number
LRT-973
Date granted
12/03/2002
Date expires
06/30/2005
Class
Board Of Medicine
Status
Canceled
Address
3700 S. Westport Ave. #1469 Sioux Falls SD 57106
idaholicensing.com
ID 48343978
LAST UPDATED 2024-04-24 15:11:39 UTC

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