License holder summary

STEVEN ROBERT QUACKENBUSH is a Board Of Medicine licensed to practice in Idaho. The address on file for STEVEN ROBERT QUACKENBUSH is Rt. 4 Box 78 Ottumwa IA 52501. This licensed professional license is not current. The license was granted 09/12/1992 and expired on 07/02/1993.

Idaho

Division of Occupational and Professional Licenses

STEVEN ROBERT QUACKENBUSH
Board Of Medicine
License number
M-6091
Date granted
09/12/1992
Date expires
07/02/1993
Class
Board Of Medicine
Status
Canceled
Address
Rt. 4 Box 78 Ottumwa IA 52501
idaholicensing.com
ID 48329643
LAST UPDATED 2024-03-10 20:53:24 UTC

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