JULIE MARIE MADSEN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036162504

License Status

ACTIVE

Business

First Name

JULIE

Middle

MARIE

Last Name

MADSEN

Business Name

JULIE MARIE MADSEN

Original Issue Date

10/04/2022

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

BOISE

State

Zip

83702

Ever Disciplined

LastModifiedDate

06/22/2023