Idaho
Division of Occupational and Professional Licenses
STEPHANIE ROBERTS
Board Of Medicine
License number
GPA-012
Date granted
08/21/2006
Class
Board Of Medicine
Status
Upgraded
Address
113 South Apple Street Shoshone ID 83352
idaholicensing.com
ID 48361029
LAST UPDATED 2024-03-02 05:03:45 UTC
LAST UPDATED 2024-03-02 05:03:45 UTC
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