License holder summary

WILLARD L DATHIESEN is a Board Of Medicine licensed to practice in Idaho. The address on file for WILLARD L DATHIESEN is 15365 SW OAKTREE LN TIGARD OR 97223. This licensed professional license is not current. The license was granted 01/12/1953 and expired on 07/01/1946.

Idaho

Division of Occupational and Professional Licenses

WILLARD L DATHIESEN
Board Of Medicine
License number
M-2188
Date granted
01/12/1953
Date expires
07/01/1946
Class
Board Of Medicine
Status
Canceled
Address
15365 SW OAKTREE LN TIGARD OR 97223
idaholicensing.com
ID 48338117
LAST UPDATED 2024-03-02 02:03:13 UTC

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