Idaho
Division of Occupational and Professional Licenses
MR. DERRICK GLUM
Idaho Board Of Examiners Of Nursing Home Administr - Nursing Home Administrator
License number
NHA - 733
Date granted
08/18/2006
Date expires
12/25/2012
Class
Idaho Board Of Examiners Of Nursing Home Administr - Nursing Home Administrator
Status
Not Current
Address
RENO NV 89511
idaholicensing.com
ID 19680480
LAST UPDATED 2024-04-10 11:49:31 UTC
LAST UPDATED 2024-04-10 11:49:31 UTC
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