License holder summary

MIKAELA DAWN BOHAM is a Board Of Medicine licensed to practice in Idaho. The address on file for MIKAELA DAWN BOHAM is 501 N. ROADRUNNER PKWY APT. 602 LAS CRUCES NM 88011. This licensed professional license is not current. The license was granted 11/21/2007 and expired on 08/01/2009.

Idaho

Division of Occupational and Professional Licenses

MIKAELA DAWN BOHAM
Board Of Medicine
License number
AT-319
Date granted
11/21/2007
Date expires
08/01/2009
Class
Board Of Medicine
Status
Canceled
Address
501 N. ROADRUNNER PKWY APT. 602 LAS CRUCES NM 88011
idaholicensing.com
ID 48336004
LAST UPDATED 2026-04-16 21:32:17 UTC

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