Idaho
Division of Occupational and Professional Licenses
MICHAEL WILLIAM DETAR
Board Of Medicine
License number
M-6575
Date granted
09/10/1994
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
PO Box 3405 SPOKANE WA 99220
idaholicensing.com
ID 48348597
LAST UPDATED 2024-03-03 20:43:05 UTC
LAST UPDATED 2024-03-03 20:43:05 UTC
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