License holder summary

CHRISTINE DAWN MOULTON is a Board Of Medicine licensed to practice in Idaho. The address on file for CHRISTINE DAWN MOULTON is 1337 Gawaine Place Boise ID 83704. This licensed professional license is not current. The license was granted 02/14/1996 and expired on 06/30/1997.

Idaho

Division of Occupational and Professional Licenses

CHRISTINE DAWN MOULTON
Board Of Medicine
License number
LRT-541
Date granted
02/14/1996
Date expires
06/30/1997
Class
Board Of Medicine
Status
Canceled
Address
1337 Gawaine Place Boise ID 83704
idaholicensing.com
ID 48357814
LAST UPDATED 2026-05-05 22:01:15 UTC

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