STACEY R DEAN
Idaho TLM-1074 Upgraded
This Idaho license was held by STACEY R DEAN. The license is no longer active. It was granted on 07/06/1979
LICENSE DETAILS
- License Number: TLM-1074
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 07/06/1979 (almost 46 years ago)
LOCATIONS
A Residential
GRAND AVE MEDICAL CORVALLIS OR 97330