License holder summary

STEPHEN RUSSELL SMITH is a Board Of Medicine licensed to practice in Idaho. The address on file for STEPHEN RUSSELL SMITH is 2716 BIRCHWOOD DR MISHAWAKA IN 46545. This licensed professional license is current. The license was granted 09/14/2006 and expired on 03/14/2007.

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

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