Idaho
Division of Occupational and Professional Licenses
ROYCE FEROL VAN GERPEN
Board Of Medicine
License number
M-6920
Date granted
01/16/1996
Date expires
07/31/2010
Class
Board Of Medicine
Status
Canceled
Address
323 E 2nd Ave Ste 102 Spokane WA 99202
idaholicensing.com
ID 48362874
LAST UPDATED 2024-03-07 17:51:23 UTC
LAST UPDATED 2024-03-07 17:51:23 UTC
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