License holder summary

Douglas Keith Casperson is a Board Of Medicine licensed to practice in Idaho. The address on file for Douglas Keith Casperson is 223 West Main Fairfield MT 59436. This licensed professional license is not current. The license was granted 12/31/1991 and expired on 07/02/1999.

Idaho

Division of Occupational and Professional Licenses

Douglas Keith Casperson
Board Of Medicine
License number
LRT-200
Date granted
12/31/1991
Date expires
07/02/1999
Class
Board Of Medicine
Status
Canceled
Address
223 West Main Fairfield MT 59436
idaholicensing.com
ID 48337680
LAST UPDATED 2024-02-28 17:52:53 UTC

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