License holder summary

THOMAS RENSSELAER DETAR is a Board Of Medicine licensed to practice in Idaho. The address on file for THOMAS RENSSELAER DETAR is 323 N Spokane St Ste 100 POST FALLS ID 83854. This licensed professional license is current. The license was granted 09/07/1996 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

THOMAS RENSSELAER DETAR
Board Of Medicine
License number
M-7110
Date granted
09/07/1996
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
323 N Spokane St Ste 100 POST FALLS ID 83854
idaholicensing.com
ID 48348600
LAST UPDATED 2024-01-25 13:46:26 UTC

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