KATHLEEN R. NIELSEN
Idaho PA-411 Renewed
This Idaho license is held by KATHLEEN R. NIELSEN. The license is currently active. It was granted on 09/04/2002 and expired on 06/30/2017
LICENSE DETAILS
- License Number: PA-411
- Category: Board Of Medicine
- Status: Renewed
- Date Granted: 09/04/2002 (over 21 years ago)
- Expiry Date: 06/30/2017 (almost 7 years ago)
LOCATIONS
A Residential
2640 S. Eagle Road Meridian ID 83642
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