Idaho
Division of Occupational and Professional Licenses
Dr. NATHAN ANDREW POULSON
Board Of Medicine
License number
M-11315
Date granted
06/02/2011
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
4301 S Maesaia Way Meridian ID 83642
idaholicensing.com
ID 48357730
LAST UPDATED 2024-03-12 16:16:38 UTC
LAST UPDATED 2024-03-12 16:16:38 UTC
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