Idaho
Division of Occupational and Professional Licenses
CAROYLN BEDKE COULAM
Board Of Medicine
License number
M-8978
Date granted
01/16/2004
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
111 E Chestnut St #43K CHICAGO IL 60611
idaholicensing.com
ID 48336262
LAST UPDATED 2024-03-23 09:15:41 UTC
LAST UPDATED 2024-03-23 09:15:41 UTC
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