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 2024-01-13 16:43:29 UTC
LAST UPDATED 2024-01-13 16:43:29 UTC
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