License holder summary

M NICOLAI NIELSEN is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for M NICOLAI NIELSEN is SPARTA NJ 07871. This medical practitioner license is not current. The license was granted 06/27/1995 and expired on 12/31/2004.

Department of State

Board of Medicine

M NICOLAI NIELSEN
Medical Physician And Surgeon
License number
MD055556L
Date granted
06/27/1995
Date expires
12/31/2004
Class
Medical Physician And Surgeon
Status
Inactive
Address
SPARTA NJ 07871
medicinepa.com
ID 37652447
LAST UPDATED 2024-02-07 20:11:29 UTC

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