Idaho
Division of Occupational and Professional Licenses
JOEL CARSON DERIG
Board Of Medicine
License number
PGT-077
Date granted
05/12/2010
Date expires
08/01/2012
Class
Board Of Medicine
Status
Canceled
Address
6900 MCMULLEN ST BOISE ID 83709
idaholicensing.com
ID 48354265
LAST UPDATED 2026-05-15 05:30:52 UTC
LAST UPDATED 2026-05-15 05:30:52 UTC
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