License holder summary

FREDERICK DEISS is a Board Of Medicine licensed to practice in Idaho. The address on file for FREDERICK DEISS is 1825 Custer Casper WY 82604. This licensed professional license is not current. The license was granted 07/10/1962 and expired on 07/05/1994.

Idaho

Division of Occupational and Professional Licenses

FREDERICK DEISS
Board Of Medicine
License number
M-2574
Date granted
07/10/1962
Date expires
07/05/1994
Class
Board Of Medicine
Status
Canceled
Address
1825 Custer Casper WY 82604
idaholicensing.com
ID 48344956
LAST UPDATED 2026-07-30 14:56:47 UTC

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