License holder summary

DAVID ESTEBAN NAGATA is a Board Of Medicine licensed to practice in Idaho. The address on file for DAVID ESTEBAN NAGATA is 9100 N 2nd Street, Suite 121 Phoenix AZ 85020. This licensed professional license is not current. The license was granted 07/01/2003 and expired on 08/01/2016.

Idaho

Division of Occupational and Professional Licenses

DAVID ESTEBAN NAGATA
Board Of Medicine
License number
M-8825
Date granted
07/01/2003
Date expires
08/01/2016
Class
Board Of Medicine
Status
Canceled
Address
9100 N 2nd Street, Suite 121 Phoenix AZ 85020
idaholicensing.com
ID 48334412
LAST UPDATED 2024-04-13 19:45:52 UTC

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