License holder summary

WILLIAM GRANT STEVENS is a Board Of Medicine licensed to practice in Idaho. The address on file for WILLIAM GRANT STEVENS is 4644 Lincoln Blvd #552 MARINA DEL REY CA 90292. This licensed professional license is not current. The license was granted 06/04/1994 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

WILLIAM GRANT STEVENS
Board Of Medicine
License number
M-6476
Date granted
06/04/1994
Date expires
06/30/2017
Class
Board Of Medicine
Status
Reinstated
Address
4644 Lincoln Blvd #552 MARINA DEL REY CA 90292
idaholicensing.com
ID 48349044
LAST UPDATED 2024-04-15 14:21:36 UTC

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