Idaho
Division of Occupational and Professional Licenses
BRYAN KEVIN GIMA-DERROW
Board Of Medicine
License number
AT-517
Date granted
07/24/2014
Date expires
08/01/2016
Class
Board Of Medicine
Status
Canceled
Address
875 Perimeter Dr. Moscow ID 83844
idaholicensing.com
ID 48351175
LAST UPDATED 2024-03-08 14:12:42 UTC
LAST UPDATED 2024-03-08 14:12:42 UTC
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