License holder summary

NICHOLAS JAMES PORTALSKI is a Board Of Medicine licensed to practice in Idaho. The address on file for NICHOLAS JAMES PORTALSKI is 1131 N LINCOLN AVE POCATELLO ID 83204. This licensed professional license is not current. The license was granted 09/25/2014 and expired on 08/05/2016.

Idaho

Division of Occupational and Professional Licenses

NICHOLAS JAMES PORTALSKI
Board Of Medicine
License number
PAT-1193
Date granted
09/25/2014
Date expires
08/05/2016
Class
Board Of Medicine
Status
Expired
Address
1131 N LINCOLN AVE POCATELLO ID 83204
idaholicensing.com
ID 48357725
LAST UPDATED 2024-01-30 22:14:08 UTC

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