Idaho
Division of Occupational and Professional Licenses
STEPHANIE ANNE KIRBY
Board Of Medicine
License number
LRT-934
Date granted
07/16/2002
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
209 Newport Drive Caldwell ID 83605
idaholicensing.com
ID 48342265
LAST UPDATED 2024-02-10 03:54:58 UTC
LAST UPDATED 2024-02-10 03:54:58 UTC
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