License holder summary

THEODORE LEWIS DERN is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for THEODORE LEWIS DERN is RENO, NV 89511. This licensed professional license is not current. The license was granted 11/24/2003 and expired on 01/31/2006.

Utah

Division of Occupational and Professional Licensing

THEODORE LEWIS DERN
Physician - Physician & Surgeon
License number
5398637-1205
Date granted
11/24/2003
Date expires
01/31/2006
Class
Physician - Physician & Surgeon
Status
Expired
Address
RENO, NV 89511
utahlicensing.org
ID 29935770
LAST UPDATED 2024-03-07 12:24:56 UTC

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