Idaho
Division of Occupational and Professional Licenses
BREEANN M PETRIE
Board Of Medicine
License number
PA-875
Date granted
11/08/2010
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
275 E 12TH ST EMMETT ID 83617
idaholicensing.com
ID 48371813
LAST UPDATED 2026-05-21 07:54:16 UTC
LAST UPDATED 2026-05-21 07:54:16 UTC
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