License holder summary

DERIC VER NON RAVSTEN is a Board Of Medicine licensed to practice in Idaho. The address on file for DERIC VER NON RAVSTEN is 1777 E. Clark St., Suite 330 POCATELLO ID 83201. This licensed professional license is current. The license was granted 09/14/2002 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

DERIC VER NON RAVSTEN
Board Of Medicine
License number
O-290
Date granted
09/14/2002
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1777 E. Clark St., Suite 330 POCATELLO ID 83201
idaholicensing.com
ID 48339239
LAST UPDATED 2024-04-30 19:38:47 UTC

This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.

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