Idaho
Division of Occupational and Professional Licenses
DOUGLAS JOHN NICHOLSON
Board Of Medicine
License number
O-310
Date granted
04/18/2003
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
6801 DALI AVE #G206 LAND O LAKES FL 34637
idaholicensing.com
ID 48354089
LAST UPDATED 2024-04-04 13:28:09 UTC
LAST UPDATED 2024-04-04 13:28:09 UTC
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