Idaho
Division of Occupational and Professional Licenses
JOANNA JANE NICHOLS
Board Of Medicine
License number
PAT-1013
Date granted
08/27/2012
Date expires
08/08/2014
Class
Board Of Medicine
Status
Expired
Address
202 N ARTHUR AVE #3 POCATELLO ID 83204
idaholicensing.com
ID 48354084
LAST UPDATED 2026-03-10 06:06:40 UTC
LAST UPDATED 2026-03-10 06:06:40 UTC
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