Idaho
Division of Occupational and Professional Licenses
AMANDA MAE NYBERG
Board Of Medicine
License number
AT-603
Date granted
10/24/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
1800 N COLE RD #H-106 BOISE ID 83704
idaholicensing.com
ID 48360896
LAST UPDATED 2024-03-01 10:51:24 UTC
LAST UPDATED 2024-03-01 10:51:24 UTC
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