License holder summary

EDWARD GERARD DETAR is a Board Of Medicine licensed to practice in Idaho. The address on file for EDWARD GERARD DETAR is 700 West Ironwood COEUR D ALENE ID 83814. This licensed professional license is current. The license was granted 03/20/2007 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

EDWARD GERARD DETAR
Board Of Medicine
License number
M-9855
Date granted
03/20/2007
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
700 West Ironwood COEUR D ALENE ID 83814
idaholicensing.com
ID 48348595
LAST UPDATED 2024-03-30 17:03:17 UTC

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