Idaho
Division of Occupational and Professional Licenses
STUART AUSTIN BLACK
Board Of Medicine
License number
M-9850
Date granted
03/13/2007
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
207 1st Street South Nampa ID 83651
idaholicensing.com
ID 48329250
LAST UPDATED 2024-04-24 20:25:04 UTC
LAST UPDATED 2024-04-24 20:25:04 UTC
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