Idaho
Division of Occupational and Professional Licenses
KAREN STOUT GUDIKSEN
Board Of Medicine
License number
M-8540
Date granted
06/08/2002
Date expires
06/30/2005
Class
Board Of Medicine
Status
Canceled
Address
4721 Mira Vista Dr Castro Valley CA 94546
idaholicensing.com
ID 48345234
LAST UPDATED 2024-03-08 03:53:30 UTC
LAST UPDATED 2024-03-08 03:53:30 UTC
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