CAROL KLETT VANCE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110376

License Status

NOT RENEWED

Business

First Name

CAROL

Middle

KLETT

Last Name

VANCE

Suffix

Business Name

CAROL KLETT VANCE MD

Original Issue Date

10/29/2003

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

AMMON

State

Zip

83406

County

BOND

Ever Disciplined

LastModifiedDate

11/12/2014

Case Number

2014007551

Action

Refuse To Renew

Discipline Start Date

10/07/2014

Discipline Reason

due to a sister-state discipline by the state of Texas.