License holder summary

TIMOTHY STEVEN NICOLELLO is a Board Of Medicine licensed to practice in Idaho. The address on file for TIMOTHY STEVEN NICOLELLO is 4044 N LEGACY WOODS AVE MERIDIAN ID 83646. This licensed professional license is current. The license was granted 07/21/2011 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

TIMOTHY STEVEN NICOLELLO
Board Of Medicine
License number
AT-400
Date granted
07/21/2011
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
4044 N LEGACY WOODS AVE MERIDIAN ID 83646
idaholicensing.com
ID 48354106
LAST UPDATED 2026-03-29 01:11:24 UTC

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