License holder summary

GLENN M. NAKADATE is a Board Of Medicine licensed to practice in Idaho. The address on file for GLENN M. NAKADATE is 2840 Long Beach Boulevard Long Beach CA 90806. This licensed professional license is not current. The license was granted 07/15/1975.

Idaho

Division of Occupational and Professional Licenses

GLENN M. NAKADATE
Board Of Medicine
License number
M-3404
Date granted
07/15/1975
Class
Board Of Medicine
Status
Canceled
Address
2840 Long Beach Boulevard Long Beach CA 90806
idaholicensing.com
ID 48330027
LAST UPDATED 2024-03-30 16:43:43 UTC

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