ANTHONY EDWARD STAUFFER
Idaho TLM-3628 Upgraded
This Idaho license was held by ANTHONY EDWARD STAUFFER. The license is no longer active. It was granted on 08/25/2005
LICENSE DETAILS
- License Number: TLM-3628
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 08/25/2005 (almost 21 years ago)
LOCATIONS
A Residential
5007 1/2 SEASHORE DRIVE NEWPORT BEACH CA 92663