License holder summary

GWEN DEANN COLEMAN is a Board Of Medicine licensed to practice in Idaho. The address on file for GWEN DEANN COLEMAN is 529 D RAVEN WAY CHUBBUCK ID 83202. This licensed professional license is not current. The license was granted 11/15/2005 and expired on 08/01/2011.

Idaho

Division of Occupational and Professional Licenses

GWEN DEANN COLEMAN
Board Of Medicine
License number
D-481
Date granted
11/15/2005
Date expires
08/01/2011
Class
Board Of Medicine
Status
Canceled
Address
529 D RAVEN WAY CHUBBUCK ID 83202
idaholicensing.com
ID 48343952
LAST UPDATED 2024-03-28 19:46:40 UTC

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