License holder summary

Dr. DIRK DENIER VANDERGON is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. DIRK DENIER VANDERGON is 415 6th St LEWISTON ID 83501. This licensed professional license is current. The license was granted 02/10/2015 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

Dr. DIRK DENIER VANDERGON
Board Of Medicine
License number
M-12804
Date granted
02/10/2015
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
415 6th St LEWISTON ID 83501
idaholicensing.com
ID 48351702
LAST UPDATED 2024-04-14 07:53:59 UTC

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