Idaho
Division of Occupational and Professional Licenses
STEPHEN RUSSELL SMITH
Board Of Medicine
License number
PA-627
Date granted
09/14/2006
Date expires
03/14/2007
Class
Board Of Medicine
Status
Active
Address
2716 BIRCHWOOD DR MISHAWAKA IN 46545
idaholicensing.com
ID 48369454
LAST UPDATED 2024-02-07 20:47:34 UTC
LAST UPDATED 2024-02-07 20:47:34 UTC
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