License holder summary

DEREK BRIAN LAURITZEN is a Board Of Medicine licensed to practice in Idaho. The address on file for DEREK BRIAN LAURITZEN is 1270 PEACH ST SAN LUIS OBISPO CA 93401. This licensed professional license is not current. The license was granted 12/07/2002 and expired on 07/14/2005.

Idaho

Division of Occupational and Professional Licenses

DEREK BRIAN LAURITZEN
Board Of Medicine
License number
M-8693
Date granted
12/07/2002
Date expires
07/14/2005
Class
Board Of Medicine
Status
Canceled
Address
1270 PEACH ST SAN LUIS OBISPO CA 93401
idaholicensing.com
ID 48338708
LAST UPDATED 2024-03-05 00:36:05 UTC

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