Idaho
Division of Occupational and Professional Licenses
DIRK THOMAS CARLSON
Board Of Medicine
License number
M-6506
Date granted
07/07/1994
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
100 E Idaho #302 BOISE ID 83712
idaholicensing.com
ID 48342362
LAST UPDATED 2024-04-04 02:30:47 UTC
LAST UPDATED 2024-04-04 02:30:47 UTC
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