License holder summary

NICOLE LORRAINE CLARK-VEGA is a Board Of Medicine licensed to practice in Idaho. The address on file for NICOLE LORRAINE CLARK-VEGA is 1010 W. Washington St. Boise ID 83702. This licensed professional license is current. The license was granted 12/04/2002 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

NICOLE LORRAINE CLARK-VEGA
Board Of Medicine
License number
AT-208
Date granted
12/04/2002
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1010 W. Washington St. Boise ID 83702
idaholicensing.com
ID 48343716
LAST UPDATED 2024-02-21 18:17:06 UTC

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