Idaho
Division of Occupational and Professional Licenses
STEPHEN C. GREEN
Board Of Medicine
License number
M-3084
Date granted
07/09/1972
Date expires
06/30/1988
Class
Board Of Medicine
Status
Canceled
Address
7671 E Knollwood Cir. Tucson AZ 85715
idaholicensing.com
ID 48347039
LAST UPDATED 2024-03-06 09:13:04 UTC
LAST UPDATED 2024-03-06 09:13:04 UTC
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