Idaho
Division of Occupational and Professional Licenses
STEPHEN E. BASTIAN
Board Of Medicine
License number
RPA-44
Date granted
11/06/1982
Class
Board Of Medicine
Status
Canceled
Address
595 W. Preston ID 83263
idaholicensing.com
ID 48336849
LAST UPDATED 2024-04-14 18:19:46 UTC
LAST UPDATED 2024-04-14 18:19:46 UTC
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