Idaho
Division of Occupational and Professional Licenses
STEPHEN ANDREW RIVERA
Board Of Medicine
License number
PAT-1345
Date granted
10/01/2015
Date expires
08/04/2017
Class
Board Of Medicine
Status
Licensed
Address
1904 GRANT ST APT 2 CALDWELL ID 83605
idaholicensing.com
ID 48355429
LAST UPDATED 2024-02-15 12:30:56 UTC
LAST UPDATED 2024-02-15 12:30:56 UTC
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