PETER EDWARD NIELSEN
Idaho M-9906 Canceled
This Idaho license was held by PETER EDWARD NIELSEN. The license is no longer active. It was granted on 04/23/2007 and expired on 08/01/2014
LICENSE DETAILS
- License Number: M-9906
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 04/23/2007 (about 18 years ago)
- Expiry Date: 08/01/2014 (almost 11 years ago)
LOCATIONS
A Residential
104 TOTTEN ST FORT LEONARD WOOD MO 65473