CHARLENE MARIE VANDAELE
Idaho AT-479 Canceled
This Idaho license was held by CHARLENE MARIE VANDAELE. The license is no longer active. It was granted on 08/23/2013 and expired on 08/01/2016
LICENSE DETAILS
- License Number: AT-479
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 08/23/2013 (over 10 years ago)
- Expiry Date: 08/01/2016 (over 7 years ago)
LOCATIONS
A Residential
2913 W STEWART AVE BOISE ID 83702