License holder summary

GERTJAN MULDER is a Board Of Medicine licensed to practice in Idaho. The address on file for GERTJAN MULDER is 3301 N Sawgrass Way Boise ID 83704. This licensed professional license is not current. The license was granted 10/29/2004 and expired on 12/31/2007.

Idaho

Division of Occupational and Professional Licenses

GERTJAN MULDER
Board Of Medicine
License number
DPHY-4931
Date granted
10/29/2004
Date expires
12/31/2007
Class
Board Of Medicine
Status
Canceled
Address
3301 N Sawgrass Way Boise ID 83704
idaholicensing.com
ID 48356992
LAST UPDATED 2024-04-04 23:46:29 UTC

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