Idaho
Division of Occupational and Professional Licenses
RICHARD DEREK ALLEN
Board Of Medicine
License number
PA-589
Date granted
11/08/2005
Date expires
08/01/2012
Class
Board Of Medicine
Status
Canceled
Address
122 W 7TH AVE STE 110 SPOKANE WA 99204
idaholicensing.com
ID 48335596
LAST UPDATED 2024-04-05 11:48:50 UTC
LAST UPDATED 2024-04-05 11:48:50 UTC
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