Idaho
Division of Occupational and Professional Licenses
CARLY JEAN MAUCH
Board Of Medicine
License number
PAT-541
Date granted
06/14/2007
Date expires
08/03/2007
Class
Board Of Medicine
Status
Expired
Address
1658 LAUREL ST APT #3 LAKE OSWEGO OR 97034
idaholicensing.com
ID 48338718
LAST UPDATED 2026-03-20 12:09:40 UTC
LAST UPDATED 2026-03-20 12:09:40 UTC
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