License holder summary

NICOLE D ROTA is a Board Of Medicine licensed to practice in Idaho. The address on file for NICOLE D ROTA is 402 Old State Hwy Cascade ID 83611. This licensed professional license is current. The license was granted 10/22/2008 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

NICOLE D ROTA
Board Of Medicine
License number
PA-780
Date granted
10/22/2008
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
402 Old State Hwy Cascade ID 83611
idaholicensing.com
ID 48361665
LAST UPDATED 2024-04-14 01:22:58 UTC

This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.

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