Idaho
Division of Occupational and Professional Licenses
NICHOLAS FRANK TACKE
Board Of Medicine
License number
MSM-0619
Date granted
05/04/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
129 W 3RD ST APT 206 MOSCOW ID 83843
idaholicensing.com
ID 48371483
LAST UPDATED 2024-02-10 09:49:03 UTC
LAST UPDATED 2024-02-10 09:49:03 UTC
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