Idaho
Division of Occupational and Professional Licenses
ANNA SHEA PETERSON
Board Of Medicine
License number
RTS-802
Date granted
06/13/2016
Date expires
10/16/2017
Class
Board Of Medicine
Status
Extended
Address
3612 E 25TH AVE SPOKANE WA 99223
idaholicensing.com
ID 48348806
LAST UPDATED 2024-03-31 22:06:07 UTC
LAST UPDATED 2024-03-31 22:06:07 UTC
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