Idaho
Division of Occupational and Professional Licenses
DERON JAY RICKS
Board Of Medicine
License number
PA-216
Date granted
09/17/1997
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
Upper Valley Family Medicine Rigby ID 83442
idaholicensing.com
ID 48356753
LAST UPDATED 2024-05-07 09:54:24 UTC
LAST UPDATED 2024-05-07 09:54:24 UTC
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