NICOLE LORRAINE CLARK-VEGA
Idaho AT-208 Renewed
This Idaho license is held by NICOLE LORRAINE CLARK-VEGA. The license is currently active. It was granted on 12/04/2002 and expired on 06/30/2017
LICENSE DETAILS
- License Number: AT-208
- Category: Board Of Medicine
- Status: Renewed
- Date Granted: 12/04/2002 (over 21 years ago)
- Expiry Date: 06/30/2017 (almost 7 years ago)
LOCATIONS
A Residential
1010 W. Washington St. Boise ID 83702
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