Idaho
Division of Occupational and Professional Licenses
C L NATE PETTINGER
Board Of Medicine
License number
M-7078
Date granted
09/07/1996
Date expires
08/01/2011
Class
Board Of Medicine
Status
Canceled
Address
13200 IDAHO MARYLAND RD NEVADA CITY CA 95959
idaholicensing.com
ID 48371700
LAST UPDATED 2024-02-09 14:24:41 UTC
LAST UPDATED 2024-02-09 14:24:41 UTC
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