Idaho
Division of Occupational and Professional Licenses
NICHOLE LOUISE GIVENS
Board Of Medicine
License number
LRT-1226
Date granted
02/21/2007
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
5801 W RANDOLPH DRIVE BOISE ID 83709
idaholicensing.com
ID 48351198
LAST UPDATED 2024-02-11 14:11:09 UTC
LAST UPDATED 2024-02-11 14:11:09 UTC
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