NICHOELLE RENEE WALL
Idaho PAT-501 Expired
This Idaho license was held by NICHOELLE RENEE WALL. The license is no longer active. It was granted on 09/14/2006 and expired on 08/03/2008
LICENSE DETAILS
- License Number: PAT-501
- Category: Board Of Medicine
- Status: Expired
- Date Granted: 09/14/2006 (over 17 years ago)
- Expiry Date: 08/03/2008 (over 15 years ago)
LOCATIONS
A Residential
1979 Snyder St. Suite #150 Richland WA 99354