Idaho
Division of Occupational and Professional Licenses
CAROL LYNN BROKSCHMIDT
Board Of Medicine
License number
M-7093
Date granted
09/07/1996
Date expires
07/02/1997
Class
Board Of Medicine
Status
Canceled
Address
12520 Tanque Verde Rd. Tucson AZ 85749
idaholicensing.com
ID 48341652
LAST UPDATED 2024-05-03 16:52:39 UTC
LAST UPDATED 2024-05-03 16:52:39 UTC
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