Idaho
Division of Occupational and Professional Licenses
STEPHANIE RENEE HAYES
Board Of Medicine
License number
PA-1408
Date granted
09/15/2016
Date expires
06/30/2018
Class
Board Of Medicine
Status
Licensed
Address
38 S MESA VISTA DRIVE BOISE ID 83705
idaholicensing.com
ID 48339809
LAST UPDATED 2026-06-06 17:27:41 UTC
LAST UPDATED 2026-06-06 17:27:41 UTC
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