License holder summary

NANCY L VITELLO is a Board Of Medicine licensed to practice in Idaho. The address on file for NANCY L VITELLO is 700 IRONWOOD DR STE 214 COEUR D ALENE ID 83814. This licensed professional license is not current. The license was granted 02/25/2005 and expired on 08/01/2009.

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

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