STEPHANIE THERESA HANSON

Idaho  PAI-762   Active

This Idaho license is held by STEPHANIE THERESA HANSON. The license is currently active. It was granted on 09/12/2008

LICENSE DETAILS

  • License Number: PAI-762
  • Category: Board Of Medicine
  • Status: Active
  • Date Granted: 09/12/2008 (over 15 years ago)

LOCATIONS

A Residential

PMC-BEHAVIORAL HEALTH POCATELLO ID 83201