License holder summary

CAROLYN BETH PEVEHOUSE is a Board Of Medicine licensed to practice in Idaho. The address on file for CAROLYN BETH PEVEHOUSE is 612 CREECHVILLE RD. ENNIS TX 75119. This licensed professional license is current. The license was granted 07/15/2016 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

CAROLYN BETH PEVEHOUSE
Board Of Medicine
License number
LRT-1968
Date granted
07/15/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
612 CREECHVILLE RD. ENNIS TX 75119
idaholicensing.com
ID 48347540
LAST UPDATED 2024-03-19 14:52:25 UTC

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