License holder summary

JOHN NICHOLAS GIETZEN is a Board Of Medicine licensed to practice in Idaho. The address on file for JOHN NICHOLAS GIETZEN is 3422 S 15th E Idaho Falls ID 83406. This licensed professional license is not current. The license was granted 12/10/1992 and expired on 06/30/2005.

Idaho

Division of Occupational and Professional Licenses

JOHN NICHOLAS GIETZEN
Board Of Medicine
License number
O-125
Date granted
12/10/1992
Date expires
06/30/2005
Class
Board Of Medicine
Status
Canceled
Address
3422 S 15th E Idaho Falls ID 83406
idaholicensing.com
ID 48348656
LAST UPDATED 2024-04-04 23:50:47 UTC

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