License holder summary

KIERSTEN SMITH DERBY is a Board Of Medicine licensed to practice in Idaho. The address on file for KIERSTEN SMITH DERBY is 1927 25TH AVE E SEATTLE WA 98112. This licensed professional license is not current. The license was granted 06/30/2014 and expired on 06/30/2015.

Idaho

Division of Occupational and Professional Licenses

KIERSTEN SMITH DERBY
Board Of Medicine
License number
MRM-1433
Date granted
06/30/2014
Date expires
06/30/2015
Class
Board Of Medicine
Status
Expired
Address
1927 25TH AVE E SEATTLE WA 98112
idaholicensing.com
ID 48342247
LAST UPDATED 2024-01-19 05:54:17 UTC

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