Dr. STEPHANIE BLAIR LONG
Idaho MRM-1054 Upgraded
This Idaho license was held by Dr. STEPHANIE BLAIR LONG. The license is no longer active. It was granted on 05/12/2009
LICENSE DETAILS
- License Number: MRM-1054
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 05/12/2009 (almost 15 years ago)
LOCATIONS
A Residential
1691 The Alameda San Jose CA 95126