CARLYE MARIE BOLSTAD
Idaho PAT-952 Expired
This Idaho license was held by CARLYE MARIE BOLSTAD. The license is no longer active. It was granted on 12/19/2011 and expired on 03/09/2012
LICENSE DETAILS
- License Number: PAT-952
- Category: Board Of Medicine
- Status: Expired
- Date Granted: 12/19/2011 (over 12 years ago)
- Expiry Date: 03/09/2012 (about 12 years ago)
LOCATIONS
A Residential
7322 SW 13TH DRIVE APT F PORTLAND OR 97219