License holder summary

STEPHANIE LEAH REGAN is a Board Of Medicine licensed to practice in Idaho. The address on file for STEPHANIE LEAH REGAN is 27467 NORTHRIDGE RD DAVENPORT WA 99122. This licensed professional license is not current. The license was granted 06/13/2016 and expired on 10/16/2017.

Idaho

Division of Occupational and Professional Licenses

STEPHANIE LEAH REGAN
Board Of Medicine
License number
RTS-805
Date granted
06/13/2016
Date expires
10/16/2017
Class
Board Of Medicine
Status
Extended
Address
27467 NORTHRIDGE RD DAVENPORT WA 99122
idaholicensing.com
ID 48347437
LAST UPDATED 2024-04-13 11:54:50 UTC

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