License holder summary

DR. THEODORE LOUIS DERN is a Board Of Medicine licensed to practice in Idaho. The address on file for DR. THEODORE LOUIS DERN is 605 WOLF CREEK DRIVE SPRING CREEK NV 89815. This licensed professional license is not current. The license was granted 06/26/2008 and expired on 08/01/2009.

Idaho

Division of Occupational and Professional Licenses

DR. THEODORE LOUIS DERN
Board Of Medicine
License number
M-10343
Date granted
06/26/2008
Date expires
08/01/2009
Class
Board Of Medicine
Status
Canceled
Address
605 WOLF CREEK DRIVE SPRING CREEK NV 89815
idaholicensing.com
ID 48362777
LAST UPDATED 2024-03-07 09:57:25 UTC

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