License holder summary

THEA NICOLE HEATON is a Board Of Medicine licensed to practice in Idaho. The address on file for THEA NICOLE HEATON is Dermatology Center of Canyon County Nampa ID 83651. This licensed professional license is current. The license was granted 10/16/2003 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

THEA NICOLE HEATON
Board Of Medicine
License number
PA-474
Date granted
10/16/2003
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
Dermatology Center of Canyon County Nampa ID 83651
idaholicensing.com
ID 48338224
LAST UPDATED 2024-04-04 14:53:01 UTC

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