Idaho
Division of Occupational and Professional Licenses
DR. KATIE RUTH NIELSEN
Board Of Medicine
License number
MRM-0978
Date granted
04/21/2008
Date expires
06/30/2008
Class
Board Of Medicine
Status
Expired
Address
PO BOX 4730 POCATELLO ID 83205
idaholicensing.com
ID 48354246
LAST UPDATED 2026-05-07 03:48:55 UTC
LAST UPDATED 2026-05-07 03:48:55 UTC
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