License holder summary

MISTY DAWN NEISEN is a Board Of Medicine licensed to practice in Idaho. The address on file for MISTY DAWN NEISEN is 125 East Idaho Suite 303 Boise ID 83712. This licensed professional license is current. The license was granted 09/02/2014 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

MISTY DAWN NEISEN
Board Of Medicine
License number
PA-1189
Date granted
09/02/2014
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
125 East Idaho Suite 303 Boise ID 83712
idaholicensing.com
ID 48347775
LAST UPDATED 2024-04-29 02:42:54 UTC

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