Idaho
Division of Occupational and Professional Licenses
PHILIP M NELSON
Board Of Medicine
License number
M-3662
Date granted
07/18/1977
Date expires
08/01/2014
Class
Board Of Medicine
Status
Canceled
Address
PO Box 212 KETCHUM ID 83340
idaholicensing.com
ID 48357625
LAST UPDATED 2024-04-13 07:24:38 UTC
LAST UPDATED 2024-04-13 07:24:38 UTC
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