Dr. STEPHANIE BLAIR LONG
Idaho M-11169 Renewed
This Idaho license is held by Dr. STEPHANIE BLAIR LONG. The license is currently active. It was granted on 12/08/2010 and expired on 06/30/2017
LICENSE DETAILS
- License Number: M-11169
- Category: Board Of Medicine
- Status: Renewed
- Date Granted: 12/08/2010 (over 13 years ago)
- Expiry Date: 06/30/2017 (almost 7 years ago)
LOCATIONS
A Residential
1691 The Alameda San Jose CA 95126
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