NIC ROLAND CORDUM
Idaho M-6979 Renewed
This Idaho license is held by NIC ROLAND CORDUM. The license is currently active. It was granted on 04/29/1996 and expired on 06/30/2017
LICENSE DETAILS
- License Number: M-6979
- Category: Board Of Medicine
- Status: Renewed
- Date Granted: 04/29/1996 (almost 28 years ago)
- Expiry Date: 06/30/2017 (almost 7 years ago)
LOCATIONS
A Residential
6259 W Emerald St BOISE ID 83704
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