License holder summary

NICHOLAS G. HAGEN is a Board Of Medicine licensed to practice in Idaho. The address on file for NICHOLAS G. HAGEN is PO Box 212 Malad City ID 83252. This licensed professional license is not current. The license was granted 07/15/1975 and expired on 07/01/1975.

Idaho

Division of Occupational and Professional Licenses

NICHOLAS G. HAGEN
Board Of Medicine
License number
M-3408
Date granted
07/15/1975
Date expires
07/01/1975
Class
Board Of Medicine
Status
Canceled
Address
PO Box 212 Malad City ID 83252
idaholicensing.com
ID 48334339
LAST UPDATED 2024-03-22 14:14:25 UTC

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