License holder summary

KELLY NICOLE EVANS is a Board Of Medicine licensed to practice in Idaho. The address on file for KELLY NICOLE EVANS is PO BOX 4730 POCATELLO ID 83205. This licensed professional license is not current. The license was granted 07/12/2005 and expired on 04/30/2006.

Idaho

Division of Occupational and Professional Licenses

KELLY NICOLE EVANS
Board Of Medicine
License number
MRM-0852
Date granted
07/12/2005
Date expires
04/30/2006
Class
Board Of Medicine
Status
Expired
Address
PO BOX 4730 POCATELLO ID 83205
idaholicensing.com
ID 48348937
LAST UPDATED 2024-02-09 13:53:24 UTC

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