License holder summary

MR. TYRELL PAUL NIELSON is a Board Of Medicine licensed to practice in Idaho. The address on file for MR. TYRELL PAUL NIELSON is 1383 JENA DR CHUBBUCK ID 83202. This licensed professional license is current. The license was granted 08/18/2015 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

MR. TYRELL PAUL NIELSON
Board Of Medicine
License number
PA-1269
Date granted
08/18/2015
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
1383 JENA DR CHUBBUCK ID 83202
idaholicensing.com
ID 48357648
LAST UPDATED 2024-01-08 05:50:12 UTC

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