License holder summary

DALE ANN PETERSEN is a Board Of Medicine licensed to practice in Idaho. The address on file for DALE ANN PETERSEN is PO Box 700 Plummer ID 83851. This licensed professional license is not current. The license was granted 09/24/1998 and expired on 06/30/2000.

Idaho

Division of Occupational and Professional Licenses

DALE ANN PETERSEN
Board Of Medicine
License number
PA-249
Date granted
09/24/1998
Date expires
06/30/2000
Class
Board Of Medicine
Status
Canceled
Address
PO Box 700 Plummer ID 83851
idaholicensing.com
ID 48348764
LAST UPDATED 2024-02-18 06:01:39 UTC

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