Idaho
Division of Occupational and Professional Licenses
DEREK SCOTT AHLSTROM
Board Of Medicine
License number
PAT-1397
Date granted
09/01/2016
Date expires
08/03/2018
Class
Board Of Medicine
Status
Licensed
Address
921 S 8TH AVE POCATELLO ID 83209
idaholicensing.com
ID 48334556
LAST UPDATED 2024-02-25 23:42:59 UTC
LAST UPDATED 2024-02-25 23:42:59 UTC
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