License holder summary

JAMIE TAYLOR NICOLE FUNK is a Board Of Medicine licensed to practice in Idaho. The address on file for JAMIE TAYLOR NICOLE FUNK is 1324 EDINBOROUGH CT MOSCOW ID 83843. This licensed professional license is current. The license was granted 08/17/2016 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

JAMIE TAYLOR NICOLE FUNK
Board Of Medicine
License number
MSM-0744
Date granted
08/17/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
1324 EDINBOROUGH CT MOSCOW ID 83843
idaholicensing.com
ID 48350485
LAST UPDATED 2024-02-22 04:14:57 UTC

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