License holder summary

STEPHEN MICHAEL NIESEN is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for STEPHEN MICHAEL NIESEN is FAIRLAWN NJ 07410. This medical practitioner license is not current. The license was granted 03/11/1970 and expired on 12/31/1982.

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

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