Idaho
Division of Occupational and Professional Licenses
TODD ELRAY STANFORD
Board Of Medicine
License number
PA-404
Date granted
08/16/2002
Date expires
06/30/2003
Class
Board Of Medicine
Status
Canceled
Address
1622 Buffalo Trail Dr Henderson NV 89014
idaholicensing.com
ID 48350296
LAST UPDATED 2026-04-28 22:51:17 UTC
LAST UPDATED 2026-04-28 22:51:17 UTC
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