License holder summary

STEPHANIE LUE ELLEN DALTON is a Board Of Medicine licensed to practice in Idaho. The address on file for STEPHANIE LUE ELLEN DALTON is P.O. Box 4477 Boise ID 83711. This licensed professional license is current. The license was granted 10/31/2001 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

STEPHANIE LUE ELLEN DALTON
Board Of Medicine
License number
PA-374
Date granted
10/31/2001
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
P.O. Box 4477 Boise ID 83711
idaholicensing.com
ID 48335906
LAST UPDATED 2024-05-16 01:24:40 UTC

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