License holder summary

NICOLE LEEANN EIDEMILLER is a Board Of Medicine licensed to practice in Idaho. The address on file for NICOLE LEEANN EIDEMILLER is 815 N JASPER PL NAMPA ID 83687. This licensed professional license is current. The license was granted 02/24/2016 and expired on 02/24/2017.

Idaho

Division of Occupational and Professional Licenses

NICOLE LEEANN EIDEMILLER
Board Of Medicine
License number
TRN-097
Date granted
02/24/2016
Date expires
02/24/2017
Class
Board Of Medicine
Status
Licensed
Address
815 N JASPER PL NAMPA ID 83687
idaholicensing.com
ID 48347585
LAST UPDATED 2024-02-18 10:32:05 UTC

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