NICHOLAS JAMES PORTALSKI
Idaho PAT-1193 Expired
This Idaho license was held by NICHOLAS JAMES PORTALSKI. The license is no longer active. It was granted on 09/25/2014 and expired on 08/05/2016
LICENSE DETAILS
- License Number: PAT-1193
- Category: Board Of Medicine
- Status: Expired
- Date Granted: 09/25/2014 (over 9 years ago)
- Expiry Date: 08/05/2016 (almost 8 years ago)
LOCATIONS
A Residential
1131 N LINCOLN AVE POCATELLO ID 83204