Idaho
Division of Occupational and Professional Licenses
FREDERICK DEISS
Board Of Medicine
License number
M-2574
Date granted
07/10/1962
Date expires
07/05/1994
Class
Board Of Medicine
Status
Canceled
Address
1825 Custer Casper WY 82604
idaholicensing.com
ID 48344956
LAST UPDATED 2024-03-10 01:33:00 UTC
LAST UPDATED 2024-03-10 01:33:00 UTC
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