CARL RAYMOND BERGSTROM
Idaho M-7248 Revoked
This Idaho license was held by CARL RAYMOND BERGSTROM. The license is no longer active. It was granted on 06/07/1997
LICENSE DETAILS
- License Number: M-7248
- Category: Board Of Medicine
- Status: Revoked
- Date Granted: 06/07/1997 (almost 28 years ago)
LOCATIONS
A Residential
26366 Carmel Rancho Ln Ste H CARMEL CA 93923