License holder summary

DR. KATIE RUTH NIELSEN is a Board Of Medicine licensed to practice in Idaho. The address on file for DR. KATIE RUTH NIELSEN is PO BOX 4730 POCATELLO ID 83205. This licensed professional license is not current. The license was granted 04/21/2008 and expired on 06/30/2008.

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 2026-03-12 07:58:57 UTC

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