License holder summary

KIMBERLY CAROLE BAUTISTA is a Board Of Medicine licensed to practice in Idaho. The address on file for KIMBERLY CAROLE BAUTISTA is 1250 Hollipark Drive IDAHO FALLS ID 83401. This licensed professional license is current. The license was granted 11/05/2003 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

KIMBERLY CAROLE BAUTISTA
Board Of Medicine
License number
D-431
Date granted
11/05/2003
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1250 Hollipark Drive IDAHO FALLS ID 83401
idaholicensing.com
ID 48338491
LAST UPDATED 2024-04-02 04:21:13 UTC

This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.

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