Idaho
Division of Occupational and Professional Licenses
AMY LYNN NELSON
Board Of Medicine
License number
LRT-1131
Date granted
09/21/2005
Date expires
06/30/2007
Class
Board Of Medicine
Status
Canceled
Address
14688 CARRIAGE LN NE PRIOR LAKE MN 55372
idaholicensing.com
ID 48357551
LAST UPDATED 2024-02-29 08:03:12 UTC
LAST UPDATED 2024-02-29 08:03:12 UTC
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