Idaho
Division of Occupational and Professional Licenses
STEPHEN HOWARD KOUBA
Board Of Medicine
License number
M-5175
Date granted
12/01/1986
Date expires
07/01/1981
Class
Board Of Medicine
Status
Canceled
Address
430 Dunmore Rd. Fayetteville NC 28303
idaholicensing.com
ID 48356519
LAST UPDATED 2024-03-30 15:13:24 UTC
LAST UPDATED 2024-03-30 15:13:24 UTC
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