Idaho
Division of Occupational and Professional Licenses
ELLA CLARK NICHOLSON
Board Of Medicine
License number
PAT-464
Date granted
06/29/2005
Date expires
04/12/2006
Class
Board Of Medicine
Status
Expired
Address
61070 HONKERS CT BEND OR 97702
idaholicensing.com
ID 48343638
LAST UPDATED 2024-04-14 12:53:38 UTC
LAST UPDATED 2024-04-14 12:53:38 UTC
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