Nebraska
Board of Licensing
Travis Wade Dierks MD
Medicine - Temporary Educational Permit
License number
5269
Date granted
07/01/2005
Date expires
07/01/2009
Class
Medicine - Temporary Educational Permit
Status
Licensed
Address
licensingnebraska.com
ID 49502491
LAST UPDATED 2024-03-16 14:45:20 UTC
LAST UPDATED 2024-03-16 14:45:20 UTC
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