License holder summary

MANDY MAE PETERSON is a Board Of Medicine licensed to practice in Idaho. The address on file for MANDY MAE PETERSON is 2511 COURT AVE BAKER CITY OR 97814. This licensed professional license is not current. The license was granted 07/12/2007 and expired on 08/01/2014.

Idaho

Division of Occupational and Professional Licenses

MANDY MAE PETERSON
Board Of Medicine
License number
D-535
Date granted
07/12/2007
Date expires
08/01/2014
Class
Board Of Medicine
Status
Canceled
Address
2511 COURT AVE BAKER CITY OR 97814
idaholicensing.com
ID 48362290
LAST UPDATED 2024-03-23 01:11:11 UTC

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