Idaho
Division of Occupational and Professional Licenses
TRAVIS WAYNE STICKLER
Board Of Medicine
License number
PGT-013
Date granted
04/05/2004
Class
Board Of Medicine
Status
Upgraded
Address
716 14TH AVE N BUHL ID 83316
idaholicensing.com
ID 48356336
LAST UPDATED 2024-05-02 16:07:02 UTC
LAST UPDATED 2024-05-02 16:07:02 UTC
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