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
LAST UPDATED 2024-03-31 04:35:35 UTC
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