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 2026-06-04 08:13:47 UTC
LAST UPDATED 2026-06-04 08:13:47 UTC
This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.