Idaho
Division of Occupational and Professional Licenses
STEPHANIE PEACE REZENDES
Board Of Medicine
License number
PAT-1179
Date granted
08/11/2014
Date expires
01/30/2015
Class
Board Of Medicine
Status
Expired
Address
23114 SE 40TH PL SAMMAMISH WA 98075
idaholicensing.com
ID 48349544
LAST UPDATED 2024-04-06 07:47:04 UTC
LAST UPDATED 2024-04-06 07:47:04 UTC
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