License holder summary

SHIRLENE JEAN BOUMA is a Board Of Medicine licensed to practice in Idaho. The address on file for SHIRLENE JEAN BOUMA is PO Box 1115 Airway Heights WA 99001. This licensed professional license is not current. The license was granted 06/25/1996.

Idaho

Division of Occupational and Professional Licenses

SHIRLENE JEAN BOUMA
Board Of Medicine
License number
TRT-079
Date granted
06/25/1996
Class
Board Of Medicine
Status
Canceled
Address
PO Box 1115 Airway Heights WA 99001
idaholicensing.com
ID 48341291
LAST UPDATED 2024-03-22 05:09:00 UTC

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