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
LAST UPDATED 2024-04-13 19:45:52 UTC
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