Idaho
Division of Occupational and Professional Licenses
NICOLE LEEANN EIDEMILLER
Board Of Medicine
License number
TRN-097
Date granted
02/24/2016
Date expires
02/24/2017
Class
Board Of Medicine
Status
Licensed
Address
815 N JASPER PL NAMPA ID 83687
idaholicensing.com
ID 48347585
LAST UPDATED 2024-02-23 08:10:37 UTC
LAST UPDATED 2024-02-23 08:10:37 UTC
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