License holder summary

CAROLYN JOY GREEN is a Board Of Medicine licensed to practice in Idaho. The address on file for CAROLYN JOY GREEN is 1150 FAIRVIEW AVE FRUITLAND ID 83619. This licensed professional license is current. The license was granted 06/27/2014 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

CAROLYN JOY GREEN
Board Of Medicine
License number
PA-1174
Date granted
06/27/2014
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1150 FAIRVIEW AVE FRUITLAND ID 83619
idaholicensing.com
ID 48347018
LAST UPDATED 2024-02-04 09:17:16 UTC

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