Idaho
Division of Occupational and Professional Licenses
CAROLYN VIRGINIA RANTEN
Board Of Medicine
License number
MSO-0132
Date granted
05/05/2015
Date expires
06/30/2016
Class
Board Of Medicine
Status
Expired
Address
5200 W NOB HILL BLVD APT 240 YAKIMA WA 98908
idaholicensing.com
ID 48360832
LAST UPDATED 2024-02-13 23:28:54 UTC
LAST UPDATED 2024-02-13 23:28:54 UTC
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