DOUGLAS WADE NICOLARSEN
Idaho M-5967 Renewed
This Idaho license is held by DOUGLAS WADE NICOLARSEN. The license is currently active. It was granted on 03/25/1992 and expired on 06/30/2017
LICENSE DETAILS
- License Number: M-5967
- Category: Board Of Medicine
- Status: Renewed
- Date Granted: 03/25/1992 (almost 33 years ago)
- Expiry Date: 06/30/2017 (over 7 years ago)
LOCATIONS
A Residential
338 E BANNOCK STREET BOISE ID 83712
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