License holder summary

MICHAEL ROBERT NIERAETH is a Board Of Medicine licensed to practice in Idaho. The address on file for MICHAEL ROBERT NIERAETH is 320 Warner Drive LEWISTON ID 83501. This licensed professional license is current. The license was granted 08/31/2012 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

MICHAEL ROBERT NIERAETH
Board Of Medicine
License number
PA-993
Date granted
08/31/2012
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
320 Warner Drive LEWISTON ID 83501
idaholicensing.com
ID 48334023
LAST UPDATED 2024-03-29 23:56:55 UTC

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