Idaho
Division of Occupational and Professional Licenses
STEPHANIE THERESA HANSON
Board Of Medicine
License number
PA-762
Date granted
09/12/2008
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
PMC-BEHAVIORAL HEALTH POCATELLO ID 83201
idaholicensing.com
ID 48360752
LAST UPDATED 2024-04-17 12:40:38 UTC
LAST UPDATED 2024-04-17 12:40:38 UTC
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