License holder summary

KIMBERLY DIANE SANTANICOLA is a Board Of Medicine licensed to practice in Idaho. The address on file for KIMBERLY DIANE SANTANICOLA is 2211 MORNING POND LN CONCORD NC 28025. This licensed professional license is current. The license was granted 11/01/2016 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

KIMBERLY DIANE SANTANICOLA
Board Of Medicine
License number
LRT-1991
Date granted
11/01/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
2211 MORNING POND LN CONCORD NC 28025
idaholicensing.com
ID 48360277
LAST UPDATED 2026-04-27 05:22:42 UTC

This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.

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