License holder summary

CARL JAY PERGAM is a Board Of Medicine licensed to practice in Idaho. The address on file for CARL JAY PERGAM is 6507 258TH AVE NE REDMOND WA 98053. This licensed professional license is current. The license was granted 06/21/2002 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

CARL JAY PERGAM
Board Of Medicine
License number
M-8553
Date granted
06/21/2002
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
6507 258TH AVE NE REDMOND WA 98053
idaholicensing.com
ID 48350763
LAST UPDATED 2024-03-26 18:28:20 UTC

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