Idaho
Division of Occupational and Professional Licenses
SYRINGA SUTHERLAND STARK
Board Of Medicine
License number
AT-419
Date granted
12/19/2011
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
6001 Cassia Street Boise ID 83709
idaholicensing.com
ID 48362637
LAST UPDATED 2024-02-07 22:15:45 UTC
LAST UPDATED 2024-02-07 22:15:45 UTC
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