Idaho
Division of Occupational and Professional Licenses
Stephanie E Howard-Farnworth
Board Of Medicine
License number
LRT-112
Date granted
11/27/1991
Date expires
07/02/1998
Class
Board Of Medicine
Status
Canceled
Address
876 W Ashton DR Meridian ID 83646
idaholicensing.com
ID 48349639
LAST UPDATED 2024-01-31 18:40:38 UTC
LAST UPDATED 2024-01-31 18:40:38 UTC
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