Idaho
Division of Occupational and Professional Licenses
THEODORE L. DERN
Board Of Medicine
License number
M-3492
Date granted
07/11/1976
Date expires
06/30/1978
Class
Board Of Medicine
Status
Canceled
Address
610 East Sunset North Redlands CA 92373
idaholicensing.com
ID 48362778
LAST UPDATED 2024-02-12 00:35:10 UTC
LAST UPDATED 2024-02-12 00:35:10 UTC
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