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 2024-03-15 15:07:51 UTC
LAST UPDATED 2024-03-15 15:07:51 UTC
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