Idaho
Division of Occupational and Professional Licenses
NICHOLAS VERN HENSLEY
Board Of Medicine
License number
PA-1410
Date granted
09/15/2016
Date expires
06/30/2018
Class
Board Of Medicine
Status
Licensed
Address
926 WILLOW LANE POCATELLO ID 83201
idaholicensing.com
ID 48349370
LAST UPDATED 2024-04-21 03:11:43 UTC
LAST UPDATED 2024-04-21 03:11:43 UTC
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