Idaho
Division of Occupational and Professional Licenses
Dr. KATSUFUMI NISHIDA
Board Of Medicine
License number
M-11143
Date granted
11/01/2010
Date expires
08/01/2012
Class
Board Of Medicine
Status
Canceled
Address
5780 WATERBURY WAY SALT LAKE CITY UT 84121
idaholicensing.com
ID 48352514
LAST UPDATED 2024-04-24 20:49:10 UTC
LAST UPDATED 2024-04-24 20:49:10 UTC
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