Idaho
Division of Occupational and Professional Licenses
NICHOLAS JOHN PERIUS
Board Of Medicine
License number
PA-258
Date granted
02/19/1999
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
4279 RIM VISTA RD FILER ID 83328
idaholicensing.com
ID 48355398
LAST UPDATED 2024-05-10 19:24:24 UTC
LAST UPDATED 2024-05-10 19:24:24 UTC
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