NAYA NICOLE ANTINK
Idaho M-9021 Renewed
This Idaho license is held by NAYA NICOLE ANTINK. The license is currently active. It was granted on 04/08/2004 and expired on 06/30/2017
LICENSE DETAILS
- License Number: M-9021
- Category: Board Of Medicine
- Status: Renewed
- Date Granted: 04/08/2004 (about 20 years ago)
- Expiry Date: 06/30/2017 (almost 7 years ago)
LOCATIONS
A Residential
1072 N LIBERTY ST, STE 203 BOISE ID 83704
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