License holder summary

ERIC LEO VAN DEREYKEN is a Board Of Medicine licensed to practice in Idaho. The address on file for ERIC LEO VAN DEREYKEN is 10722 SANDHURST DR BOISE ID 83709. This licensed professional license is not current. The license was granted 02/05/2010 and expired on 10/18/2011.

Idaho

Division of Occupational and Professional Licenses

ERIC LEO VAN DEREYKEN
Board Of Medicine
License number
RTS-272
Date granted
02/05/2010
Date expires
10/18/2011
Class
Board Of Medicine
Status
Expired
Address
10722 SANDHURST DR BOISE ID 83709
idaholicensing.com
ID 48381827
LAST UPDATED 2024-04-29 09:23:44 UTC

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