Idaho
Division of Occupational and Professional Licenses
NICHOLAS WENDELL WICKERSHAM
Board Of Medicine
License number
M-9337
Date granted
07/26/2005
Date expires
06/30/2007
Class
Board Of Medicine
Status
Canceled
Address
903 W 20TH AVE SPOKANE WA 99203
idaholicensing.com
ID 48387891
LAST UPDATED 2024-03-05 19:05:33 UTC
LAST UPDATED 2024-03-05 19:05:33 UTC
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