Idaho
Division of Occupational and Professional Licenses
NICOLE LISETTE DENNO
Board Of Medicine
License number
AT-564
Date granted
09/29/2015
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
2401 S Apple St Boise ID 83706
idaholicensing.com
ID 48360400
LAST UPDATED 2026-04-05 14:01:15 UTC
LAST UPDATED 2026-04-05 14:01:15 UTC
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