Idaho
Division of Occupational and Professional Licenses
STEPHEN DUANE MILLER
Board Of Medicine
License number
LRT-999
Date granted
05/02/2003
Date expires
08/01/2016
Class
Board Of Medicine
Status
Canceled
Address
1618 PARKWOOD ST IDAHO FALLS ID 83401
idaholicensing.com
ID 48358756
LAST UPDATED 2024-02-10 01:44:08 UTC
LAST UPDATED 2024-02-10 01:44:08 UTC
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