Idaho
Division of Occupational and Professional Licenses
MS. CAROLYN DIAZ SY
Board Of Medicine
License number
MRM-1364
Date granted
10/16/2013
Date expires
06/30/2014
Class
Board Of Medicine
Status
Expired
Address
1530 15TH AVENUE UNIT 406 SEATTLE WA 98122
idaholicensing.com
ID 48371390
LAST UPDATED 2026-05-10 23:30:07 UTC
LAST UPDATED 2026-05-10 23:30:07 UTC
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