License holder summary

MS. KRISTEN DYAN BOWMAN is a Board Of Medicine licensed to practice in Idaho. The address on file for MS. KRISTEN DYAN BOWMAN is 5165 CECILIA ST SE SALEM OR 97306. This licensed professional license is not current. The license was granted 08/10/2010 and expired on 08/01/2016.

Idaho

Division of Occupational and Professional Licenses

MS. KRISTEN DYAN BOWMAN
Board Of Medicine
License number
D-634
Date granted
08/10/2010
Date expires
08/01/2016
Class
Board Of Medicine
Status
Canceled
Address
5165 CECILIA ST SE SALEM OR 97306
idaholicensing.com
ID 48341344
LAST UPDATED 2024-02-01 14:22:06 UTC

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