License holder summary

STANFORD BENJAMIN GAMMON is a Board Of Medicine licensed to practice in Idaho. The address on file for STANFORD BENJAMIN GAMMON is 451 S Karey Ln Idaho Falls ID 83402. This licensed professional license is current. The license was granted 12/02/2015 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

STANFORD BENJAMIN GAMMON
Board Of Medicine
License number
PA-1328
Date granted
12/02/2015
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
451 S Karey Ln Idaho Falls ID 83402
idaholicensing.com
ID 48336405
LAST UPDATED 2024-04-05 05:56:28 UTC

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