KYLE PRATT NIELSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122260

License Status

NOT RENEWED

Business

First Name

KYLE

Middle

PRATT

Last Name

NIELSON

Suffix

Business Name

KYLE PRATT NIELSON MD

Original Issue Date

11/26/2008

Effective Date

05/21/2014

Expiration Date

07/31/2017

City

BLAINE

State

Zip

98230

County

WASHINGTON STATE

Ever Disciplined

LastModifiedDate

11/01/2017