License holder summary

NIC ROLAND CORDUM is a Board Of Medicine licensed to practice in Idaho. The address on file for NIC ROLAND CORDUM is 6259 W Emerald St BOISE ID 83704. This licensed professional license is current. The license was granted 04/29/1996 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

NIC ROLAND CORDUM
Board Of Medicine
License number
M-6979
Date granted
04/29/1996
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
6259 W Emerald St BOISE ID 83704
idaholicensing.com
ID 48344247
LAST UPDATED 2026-05-28 23:19:31 UTC

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