License holder summary

CHARLENE MARIE VANDAELE is a Board Of Medicine licensed to practice in Idaho. The address on file for CHARLENE MARIE VANDAELE is 2913 W STEWART AVE BOISE ID 83702. This licensed professional license is not current. The license was granted 08/23/2013 and expired on 08/01/2016.

Idaho

Division of Occupational and Professional Licenses

CHARLENE MARIE VANDAELE
Board Of Medicine
License number
AT-479
Date granted
08/23/2013
Date expires
08/01/2016
Class
Board Of Medicine
Status
Canceled
Address
2913 W STEWART AVE BOISE ID 83702
idaholicensing.com
ID 48334043
LAST UPDATED 2026-03-11 19:26:44 UTC

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