Idaho
Division of Occupational and Professional Licenses
STACY LYNN FISH
Board Of Medicine
License number
PA-949
Date granted
11/02/2011
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
707 N ARMSTRONG PL Boise ID 83704
idaholicensing.com
ID 48349959
LAST UPDATED 2024-02-18 11:06:26 UTC
LAST UPDATED 2024-02-18 11:06:26 UTC
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