Department of State
Board of Medicine
STEPHEN MICHAEL NIESEN
Medical Physician And Surgeon
License number
MD011600E
Date granted
03/11/1970
Date expires
12/31/1982
Class
Medical Physician And Surgeon
Status
Revoked
Address
FAIRLAWN NJ 07410
medicinepa.com
ID 37651086
LAST UPDATED 2026-03-25 04:34:16 UTC
LAST UPDATED 2026-03-25 04:34:16 UTC
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