License holder summary

GARY LYNN KULSRUD is a Board Of Medicine licensed to practice in Idaho. The address on file for GARY LYNN KULSRUD is 22809 E COUNTRY VISTA DR APT 340 LIBERTY LAKE WA 99019. This licensed professional license is not current. The license was granted 10/12/2011 and expired on 08/01/2014.

Idaho

Division of Occupational and Professional Licenses

GARY LYNN KULSRUD
Board Of Medicine
License number
LRT-1576
Date granted
10/12/2011
Date expires
08/01/2014
Class
Board Of Medicine
Status
Canceled
Address
22809 E COUNTRY VISTA DR APT 340 LIBERTY LAKE WA 99019
idaholicensing.com
ID 48356806
LAST UPDATED 2026-03-17 17:01:50 UTC

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