License holder summary

MARY L NIELSEN is a Board Of Medicine licensed to practice in Idaho. The address on file for MARY L NIELSEN is 110 E CENTER ST #583 MADISON SD 57042. This licensed professional license is not current. The license was granted 06/20/2008 and expired on 07/31/2010.

Idaho

Division of Occupational and Professional Licenses

MARY L NIELSEN
Board Of Medicine
License number
LRT-1320
Date granted
06/20/2008
Date expires
07/31/2010
Class
Board Of Medicine
Status
Canceled
Address
110 E CENTER ST #583 MADISON SD 57042
idaholicensing.com
ID 48354247
LAST UPDATED 2026-03-15 09:58:26 UTC

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