TIMOTHY R STIDHAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036171302

License Status

ACTIVE

Business

Title

First Name

TIMOTHY

Middle

Last Name

STIDHAM

Business Name

TIMOTHY R STIDHAM MD

Original Issue Date

07/25/2024

Effective Date

07/25/2024

Expiration Date

07/31/2026

City

KALISPELL

State

Zip

59901

Ever Disciplined

LastModifiedDate

07/25/2024