License holder summary

GRANT C VAN HOUTEN is a Board Of Medicine licensed to practice in Idaho. The address on file for GRANT C VAN HOUTEN is 1200 SW THETA CT Pendleton OR 97801. This licensed professional license is not current. The license was granted 05/12/1980 and expired on 06/30/2012.

Idaho

Division of Occupational and Professional Licenses

GRANT C VAN HOUTEN
Board Of Medicine
License number
M-4175
Date granted
05/12/1980
Date expires
06/30/2012
Class
Board Of Medicine
Status
Canceled
Address
1200 SW THETA CT Pendleton OR 97801
idaholicensing.com
ID 48361798
LAST UPDATED 2026-05-15 00:41:33 UTC

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