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
LAST UPDATED 2024-03-19 14:52:25 UTC
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