License holder summary

PETER EDWARD NIELSEN is a Board Of Medicine licensed to practice in Idaho. The address on file for PETER EDWARD NIELSEN is 104 TOTTEN ST FORT LEONARD WOOD MO 65473. This licensed professional license is not current. The license was granted 04/23/2007 and expired on 08/01/2014.

Idaho

Division of Occupational and Professional Licenses

PETER EDWARD NIELSEN
Board Of Medicine
License number
M-9906
Date granted
04/23/2007
Date expires
08/01/2014
Class
Board Of Medicine
Status
Canceled
Address
104 TOTTEN ST FORT LEONARD WOOD MO 65473
idaholicensing.com
ID 48354248
LAST UPDATED 2024-03-17 03:23:28 UTC

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