Idaho
Division of Occupational and Professional Licenses
RANDY GERALD ROBERG
Board Of Medicine
License number
AT-410
Date granted
09/07/2011
Date expires
08/01/2012
Class
Board Of Medicine
Status
Canceled
Address
3807 E LAUREL RD CHATTAROY WA 99003
idaholicensing.com
ID 48360984
LAST UPDATED 2026-04-18 19:37:03 UTC
LAST UPDATED 2026-04-18 19:37:03 UTC
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