Idaho
Division of Occupational and Professional Licenses
NANCY L VITELLO
Board Of Medicine
License number
PA-546
Date granted
02/25/2005
Date expires
08/01/2009
Class
Board Of Medicine
Status
Canceled
Address
700 IRONWOOD DR STE 214 COEUR D ALENE ID 83814
idaholicensing.com
ID 48383697
LAST UPDATED 2024-01-10 05:15:25 UTC
LAST UPDATED 2024-01-10 05:15:25 UTC
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