License holder summary

Dr. NELSON ANTONIUK is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. NELSON ANTONIUK is 30410 Highwy 200 Ponderay ID 83852. This licensed professional license is current. The license was granted 11/12/2015 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

Dr. NELSON ANTONIUK
Board Of Medicine
License number
M-13097
Date granted
11/12/2015
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
30410 Highwy 200 Ponderay ID 83852
idaholicensing.com
ID 48336804
LAST UPDATED 2024-03-31 04:35:35 UTC

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