BRENT ANTHONY NIELSEN
Temporary Medical Doctor Permit
Indiana 99003287A Superceded
This Indiana license was held by BRENT ANTHONY NIELSEN. The license is no longer active. It was granted on 07/06/2001 and expired on 09/20/2001
LICENSE DETAILS
- License Number: 99003287A
- Category: Temporary MD Permit
- Status: Superceded
- Date Granted: 07/06/2001 (almost 24 years ago)
- Expiry Date: 09/20/2001 (over 23 years ago)
LOCATIONS
A Address
Bloomington IN 47405