License holder summary

CHARLES GARY GREEN is a Board Of Medicine licensed to practice in Idaho. The address on file for CHARLES GARY GREEN is 215 Carriage Lane Auburn CA 95603. This licensed professional license is not current. The license was granted 11/06/1982.

Idaho

Division of Occupational and Professional Licenses

CHARLES GARY GREEN
Board Of Medicine
License number
M-4570
Date granted
11/06/1982
Class
Board Of Medicine
Status
Canceled
Address
215 Carriage Lane Auburn CA 95603
idaholicensing.com
ID 48347019
LAST UPDATED 2024-03-23 21:41:28 UTC

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