License holder summary

KATIE MARTHA NICHOLLS is a Board Of Medicine licensed to practice in Idaho. The address on file for KATIE MARTHA NICHOLLS is 4300 W KOOTENAI BOISE ID 83703. This licensed professional license is current. The license was granted 09/01/2016 and expired on 08/03/2018.

Idaho

Division of Occupational and Professional Licenses

KATIE MARTHA NICHOLLS
Board Of Medicine
License number
PAT-1471
Date granted
09/01/2016
Date expires
08/03/2018
Class
Board Of Medicine
Status
Licensed
Address
4300 W KOOTENAI BOISE ID 83703
idaholicensing.com
ID 48807740
LAST UPDATED 2024-04-17 03:55:03 UTC

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