Idaho
Division of Occupational and Professional Licenses
DANIEL L. PETERSON
Board Of Medicine
License number
M-3933
Date granted
05/05/1979
Date expires
07/02/1996
Class
Board Of Medicine
Status
Canceled
Address
PO Box 7870 Incline Village NV 89452
idaholicensing.com
ID 48348823
LAST UPDATED 2024-04-09 17:38:31 UTC
LAST UPDATED 2024-04-09 17:38:31 UTC
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