Idaho
Division of Occupational and Professional Licenses
BENJAMIN JAMES NICHOLS
Board Of Medicine
License number
PAT-1223
Date granted
09/25/2014
Date expires
08/05/2016
Class
Board Of Medicine
Status
Expired
Address
1920 BROADMOOR DR BOISE ID 83705
idaholicensing.com
ID 48354075
LAST UPDATED 2024-04-05 22:33:29 UTC
LAST UPDATED 2024-04-05 22:33:29 UTC
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