License holder summary

Charles Anthony Grijalva is a Board Of Medicine licensed to practice in Idaho. The address on file for Charles Anthony Grijalva is PO Box 20 COLTON WA 99113. This licensed professional license is not current. The license was granted 03/17/1999 and expired on 06/30/2001.

Idaho

Division of Occupational and Professional Licenses

Charles Anthony Grijalva
Board Of Medicine
License number
LRT-758
Date granted
03/17/1999
Date expires
06/30/2001
Class
Board Of Medicine
Status
Canceled
Address
PO Box 20 COLTON WA 99113
idaholicensing.com
ID 48351732
LAST UPDATED 2026-05-11 02:28:03 UTC

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