License holder summary

AMANDA SUE PETERSON is a Board Of Medicine licensed to practice in Idaho. The address on file for AMANDA SUE PETERSON is 5021 W OUTLOOK AVE BOISE ID 83703. This licensed professional license is current. The license was granted 09/27/2002 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

AMANDA SUE PETERSON
Board Of Medicine
License number
D-407
Date granted
09/27/2002
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
5021 W OUTLOOK AVE BOISE ID 83703
idaholicensing.com
ID 48348802
LAST UPDATED 2024-02-07 03:27:31 UTC

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