License holder summary

NICOLAS CHACE ANDERSON is a Board Of Medicine licensed to practice in Idaho. The address on file for NICOLAS CHACE ANDERSON is 3280 BIRCH CREEK RD UNIT B WEST HAVEN UT 84401. This licensed professional license is current. The license was granted 07/27/2016 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

NICOLAS CHACE ANDERSON
Board Of Medicine
License number
AT-594
Date granted
07/27/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
3280 BIRCH CREEK RD UNIT B WEST HAVEN UT 84401
idaholicensing.com
ID 48336682
LAST UPDATED 2024-04-21 23:43:05 UTC

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