Alaska
Division of Corporations, Business and Professional Licensing
MICHAEL W. DE TAR
Medical - Physician With A Temporary Permit To Practice Medicine
License number
8176
Date granted
04/01/2014
Date expires
10/01/2014
Class
Medical - Physician With A Temporary Permit To Practice Medicine
Status
Licensed
Address
C/O INCYTE DIAGNOSTICES 13103 E. MANSFIELD AVE SPOKANE VALLEY WA 99216
alaskalicensing.com
ID 20458848
LAST UPDATED 2026-05-17 08:51:18 UTC
LAST UPDATED 2026-05-17 08:51:18 UTC
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