License holder summary

DALE JAY PETERSON is a Board Of Medicine licensed to practice in Idaho. The address on file for DALE JAY PETERSON is 218 NE A ST COLLEGE PLACE WA 99324. This licensed professional license is current. The license was granted 04/04/1988 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

DALE JAY PETERSON
Board Of Medicine
License number
M-5346
Date granted
04/04/1988
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
218 NE A ST COLLEGE PLACE WA 99324
idaholicensing.com
ID 48348820
LAST UPDATED 2024-03-02 02:51:35 UTC

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