License holder summary

NISHA MADHAVAN is a Idaho Board Of Examiners Of Nursing Home Administr - Nursing Home Administrator Designee licensed to practice in Idaho. The address on file for NISHA MADHAVAN is IDAHO FALLS ID 83404. This licensed professional license is current. The license was granted 08/11/2016 and expired on 10/06/2016.

Idaho

Division of Occupational and Professional Licenses

NISHA MADHAVAN
Idaho Board Of Examiners Of Nursing Home Administr - Nursing Home Administrator Designee
License number
NHAD - 1123
Date granted
08/11/2016
Date expires
10/06/2016
Class
Idaho Board Of Examiners Of Nursing Home Administr - Nursing Home Administrator Designee
Status
Current
Address
IDAHO FALLS ID 83404
idaholicensing.com
ID 43728188
LAST UPDATED 2026-03-23 19:43:11 UTC

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