Dr. DIRK DENIER VANDERGON
Idaho M-12804 Renewed
This Idaho license is held by Dr. DIRK DENIER VANDERGON. The license is currently active. It was granted on 02/10/2015 and expired on 06/30/2018
LICENSE DETAILS
- License Number: M-12804
- Category: Board Of Medicine
- Status: Renewed
- Date Granted: 02/10/2015 (about 10 years ago)
- Expiry Date: 06/30/2018 (almost 7 years ago)
LOCATIONS
A Residential
415 6th St LEWISTON ID 83501
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