Idaho
Division of Occupational and Professional Licenses
NELLIE LUCILLE BOONE
Board Of Medicine
License number
PA-1375
Date granted
06/09/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
3086 A BURNT VALLEY RD CHEWELAH WA 99109
idaholicensing.com
ID 48341213
LAST UPDATED 2024-02-07 15:35:29 UTC
LAST UPDATED 2024-02-07 15:35:29 UTC
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