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
LAST UPDATED 2024-01-08 05:50:12 UTC
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