Dr. STACEY PORTERFIELD
Idaho O-0604 Surrendered
This Idaho license was held by Dr. STACEY PORTERFIELD. The license is no longer active. It was granted on 03/10/2011
LICENSE DETAILS
- License Number: O-0604
- Category: Board Of Medicine
- Status: Surrendered
- Date Granted: 03/10/2011 (over 14 years ago)
LOCATIONS
A Residential
275 W LOCUST ST SHELLEY ID 83274