License holder summary

CARLYE MARIE BOLSTAD is a Board Of Medicine licensed to practice in Idaho. The address on file for CARLYE MARIE BOLSTAD is 7322 SW 13TH DRIVE APT F PORTLAND OR 97219. This licensed professional license is not current. The license was granted 12/19/2011 and expired on 03/09/2012.

Idaho

Division of Occupational and Professional Licenses

CARLYE MARIE BOLSTAD
Board Of Medicine
License number
PAT-952
Date granted
12/19/2011
Date expires
03/09/2012
Class
Board Of Medicine
Status
Expired
Address
7322 SW 13TH DRIVE APT F PORTLAND OR 97219
idaholicensing.com
ID 48329787
LAST UPDATED 2024-02-13 04:48:53 UTC

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