License holder summary

MARY JOLENE CALDWELL is a Board Of Medicine licensed to practice in Idaho. The address on file for MARY JOLENE CALDWELL is 373 Jefferson St Montpelier ID 83254. This licensed professional license is not current. The license was granted 10/25/1991 and expired on 07/02/1998.

Idaho

Division of Occupational and Professional Licenses

MARY JOLENE CALDWELL
Board Of Medicine
License number
LRT-008
Date granted
10/25/1991
Date expires
07/02/1998
Class
Board Of Medicine
Status
Canceled
Address
373 Jefferson St Montpelier ID 83254
idaholicensing.com
ID 48335800
LAST UPDATED 2024-07-28 04:29:48 UTC

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