License holder summary

CARL RAYMOND BERGSTROM is a Board Of Medicine licensed to practice in Idaho. The address on file for CARL RAYMOND BERGSTROM is 26366 Carmel Rancho Ln Ste H CARMEL CA 93923. This licensed professional license is not current. The license was granted 06/07/1997.

Idaho

Division of Occupational and Professional Licenses

CARL RAYMOND BERGSTROM
Board Of Medicine
License number
M-7248
Date granted
06/07/1997
Class
Board Of Medicine
Status
Revoked
Address
26366 Carmel Rancho Ln Ste H CARMEL CA 93923
idaholicensing.com
ID 48340643
LAST UPDATED 2024-04-17 21:37:37 UTC

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