License holder summary

CHARLES R CARRASCO is a Board Of Medicine licensed to practice in Idaho. The address on file for CHARLES R CARRASCO is Mountain Medical Physician Specialists SALT LAKE CITY UT 84123. This licensed professional license is current. The license was granted 03/14/1981 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

CHARLES R CARRASCO
Board Of Medicine
License number
M-4291
Date granted
03/14/1981
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
Mountain Medical Physician Specialists SALT LAKE CITY UT 84123
idaholicensing.com
ID 48337653
LAST UPDATED 2024-02-15 16:00:10 UTC

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