License holder summary

STEPHANIE DAWN WEAVER DAVIES is a Board Of Medicine licensed to practice in Idaho. The address on file for STEPHANIE DAWN WEAVER DAVIES is 2404 N MONTANA AVE CALDWELL ID 83605. This licensed professional license is current. The license was granted 12/28/1991 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

STEPHANIE DAWN WEAVER DAVIES
Board Of Medicine
License number
LRT-192
Date granted
12/28/1991
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
2404 N MONTANA AVE CALDWELL ID 83605
idaholicensing.com
ID 48339023
LAST UPDATED 2024-04-12 21:39:55 UTC

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