Idaho
Division of Occupational and Professional Licenses
P. DOUGLAS NIELSON
Board Of Medicine
License number
M-4005
Date granted
07/20/1979
Date expires
07/08/1986
Class
Board Of Medicine
Status
Canceled
Address
392 North 600 East Nephi UT 84648
idaholicensing.com
ID 48357646
LAST UPDATED 2024-02-25 03:09:13 UTC
LAST UPDATED 2024-02-25 03:09:13 UTC
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