License holder summary

JACQUELINE ELIZABETH BOLT is a Board Of Medicine licensed to practice in Idaho. The address on file for JACQUELINE ELIZABETH BOLT is 322 E FRONT ST STE 590 BOISE ID 83702. This licensed professional license is not current. The license was granted 04/21/2014 and expired on 06/30/2015.

Idaho

Division of Occupational and Professional Licenses

JACQUELINE ELIZABETH BOLT
Board Of Medicine
License number
MSM-0364
Date granted
04/21/2014
Date expires
06/30/2015
Class
Board Of Medicine
Status
Expired
Address
322 E FRONT ST STE 590 BOISE ID 83702
idaholicensing.com
ID 48341175
LAST UPDATED 2024-04-03 05:19:38 UTC

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