License holder summary

KRISTEN LEE CARROLL is a Board Of Medicine licensed to practice in Idaho. The address on file for KRISTEN LEE CARROLL is Fairfax Rd at Virginia St SALT LAKE CITY UT 84103. This licensed professional license is current. The license was granted 06/14/2002 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

KRISTEN LEE CARROLL
Board Of Medicine
License number
M-8549
Date granted
06/14/2002
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
Fairfax Rd at Virginia St SALT LAKE CITY UT 84103
idaholicensing.com
ID 48342431
LAST UPDATED 2024-02-19 22:57:18 UTC

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