License holder summary

CAROLYN MARIE BROCK is a Board Of Medicine licensed to practice in Idaho. The address on file for CAROLYN MARIE BROCK is 7134 W Amity Rd Boise ID 83709. This licensed professional license is not current. The license was granted 07/18/1996 and expired on 08/01/2008.

Idaho

Division of Occupational and Professional Licenses

CAROLYN MARIE BROCK
Board Of Medicine
License number
LRT-569
Date granted
07/18/1996
Date expires
08/01/2008
Class
Board Of Medicine
Status
Canceled
Address
7134 W Amity Rd Boise ID 83709
idaholicensing.com
ID 48341627
LAST UPDATED 2024-04-18 12:06:26 UTC

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