License holder summary

NICANOR RODRIGO MANANGAN is a Board Of Medicine licensed to practice in Idaho. The address on file for NICANOR RODRIGO MANANGAN is 2495 SUNNYSLOPES PARK CITY UT 84060. This licensed professional license is not current. The license was granted 10/31/1987 and expired on 08/03/2015.

Idaho

Division of Occupational and Professional Licenses

NICANOR RODRIGO MANANGAN
Board Of Medicine
License number
M-5278
Date granted
10/31/1987
Date expires
08/03/2015
Class
Board Of Medicine
Status
Canceled
Address
2495 SUNNYSLOPES PARK CITY UT 84060
idaholicensing.com
ID 48350678
LAST UPDATED 2024-03-15 20:17:18 UTC

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