Idaho
Division of Occupational and Professional Licenses
MICHAEL LEE NELSON
Board Of Medicine
License number
PA-1346
Date granted
02/04/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
1273 COUNTRY AVE BLACKFOOT ID 83221
idaholicensing.com
ID 48357619
LAST UPDATED 2024-01-31 17:51:19 UTC
LAST UPDATED 2024-01-31 17:51:19 UTC
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