KATIE MARTHA NICHOLLS
Idaho PAT-1471 Licensed
This Idaho license is held by KATIE MARTHA NICHOLLS. The license is currently active. It was granted on 09/01/2016 and expired on 08/03/2018
LICENSE DETAILS
- License Number: PAT-1471
- Category: Board Of Medicine
- Status: Licensed
- Date Granted: 09/01/2016 (over 7 years ago)
- Expiry Date: 08/03/2018 (over 5 years ago)
LOCATIONS
A Residential
4300 W KOOTENAI BOISE ID 83703
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