License holder summary

THEODORE L. DERN is a Board Of Medicine licensed to practice in Idaho. The address on file for THEODORE L. DERN is 610 East Sunset North Redlands CA 92373. This licensed professional license is not current. The license was granted 07/11/1976 and expired on 06/30/1978.

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

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