DOUGLAS ROY STAFFORD
Idaho TLM-2769 Upgraded
This Idaho license was held by DOUGLAS ROY STAFFORD. The license is no longer active. It was granted on 08/06/1998
LICENSE DETAILS
- License Number: TLM-2769
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 08/06/1998 (over 25 years ago)
LOCATIONS
A Residential
850 W Ironwood Dr Ste 201 COEUR D ALENE ID 83814