STUART AUSTIN BLACK
Idaho SPHY-9850 Renewed
This Idaho license is held by STUART AUSTIN BLACK. The license is currently active. It was granted on 09/22/2008 and expired on 12/31/2016
LICENSE DETAILS
- License Number: SPHY-9850
- Category: Board Of Medicine
- Status: Renewed
- Date Granted: 09/22/2008 (over 16 years ago)
- Expiry Date: 12/31/2016 (over 8 years ago)
LOCATIONS
A Residential
207 1st Street South Nampa ID 83651
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