Idaho
Division of Occupational and Professional Licenses
CAROLYN CROTTY STAUB
Board Of Medicine
License number
AT-305
Date granted
08/24/2007
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
2130 E SICILY ST MERIDIAN ID 83642
idaholicensing.com
ID 48338879
LAST UPDATED 2026-05-09 08:54:14 UTC
LAST UPDATED 2026-05-09 08:54:14 UTC
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