License holder summary

MARK DAVID DERLETH is a Medical - Physician In A Residency Program licensed to practice in Alaska. The address on file for MARK DAVID DERLETH is 2034 MINOR AVE E #201 SEATTLE WA 98102. This licensed professional license is current. The license was granted 01/12/2009 and expired on 02/08/2009.

Alaska

Division of Corporations, Business and Professional Licensing

MARK DAVID DERLETH
Medical - Physician In A Residency Program
License number
5032
Date granted
01/12/2009
Date expires
02/08/2009
Class
Medical - Physician In A Residency Program
Status
Licensed
Address
2034 MINOR AVE E #201 SEATTLE WA 98102
alaskalicensing.com
ID 20451600
LAST UPDATED 2024-04-01 14:57:09 UTC

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