License holder summary

ANDERS THEODORE PECK is a Board Of Medicine licensed to practice in Idaho. The address on file for ANDERS THEODORE PECK is 500 W FORT ST #111 BOISE ID 83702. This licensed professional license is not current. The license was granted 06/01/2010 and expired on 07/01/2011.

Idaho

Division of Occupational and Professional Licenses

ANDERS THEODORE PECK
Board Of Medicine
License number
MRM-1131
Date granted
06/01/2010
Date expires
07/01/2011
Class
Board Of Medicine
Status
Expired
Address
500 W FORT ST #111 BOISE ID 83702
idaholicensing.com
ID 48346810
LAST UPDATED 2024-05-22 14:31:09 UTC

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