License holder summary

DIANE RAE NIELSEN is a Board Of Medicine licensed to practice in Idaho. The address on file for DIANE RAE NIELSEN is 748 Holden Ave Sebastian FL 32958. This licensed professional license is current. The license was granted 03/06/1996 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

DIANE RAE NIELSEN
Board Of Medicine
License number
PA-178
Date granted
03/06/1996
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
748 Holden Ave Sebastian FL 32958
idaholicensing.com
ID 48354239
LAST UPDATED 2026-04-28 11:27:22 UTC

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