License holder summary

JUSTIN SHAUN NIELSEN is a Board Of Medicine licensed to practice in Idaho. The address on file for JUSTIN SHAUN NIELSEN is 740 S. Woodruff Ave Idaho Falls ID 83404. This licensed professional license is current. The license was granted 06/03/2015 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

JUSTIN SHAUN NIELSEN
Board Of Medicine
License number
PA-1255
Date granted
06/03/2015
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
740 S. Woodruff Ave Idaho Falls ID 83404
idaholicensing.com
ID 48354244
LAST UPDATED 2026-03-27 12:27:13 UTC

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