Idaho
Division of Occupational and Professional Licenses
Dr. TRAVIS DALE NIELSEN
Board Of Medicine
License number
O-0554
Date granted
11/06/2009
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1951 Bench Rd Pocatello ID 83201
idaholicensing.com
ID 48354251
LAST UPDATED 2024-03-25 22:02:46 UTC
LAST UPDATED 2024-03-25 22:02:46 UTC
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