Idaho
Division of Occupational and Professional Licenses
MICHAEL ROBERT NIERAETH
Board Of Medicine
License number
PA-993
Date granted
08/31/2012
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
320 Warner Drive LEWISTON ID 83501
idaholicensing.com
ID 48334023
LAST UPDATED 2024-03-20 02:23:06 UTC
LAST UPDATED 2024-03-20 02:23:06 UTC
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