Brian David Nichols
Idaho AT-121 Renewed
This Idaho license is held by Brian David Nichols. The license is currently active. It was granted on 09/12/1996 and expired on 06/30/2017
LICENSE DETAILS
- License Number: AT-121
- Category: Board Of Medicine
- Status: Renewed
- Date Granted: 09/12/1996 (over 27 years ago)
- Expiry Date: 06/30/2017 (almost 7 years ago)
LOCATIONS
A Residential
9652 West State St. STAR ID 83669
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