Idaho
Division of Occupational and Professional Licenses
CRISTIN COULAM SLATER
Board Of Medicine
License number
M-8614
Date granted
09/14/2002
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
111 MAIN ST #100 BOISE ID 83702
idaholicensing.com
ID 48368906
LAST UPDATED 2024-04-10 22:30:21 UTC
LAST UPDATED 2024-04-10 22:30:21 UTC
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