License holder summary

DALLAS ELWOOD PETERSON is a Board Of Medicine licensed to practice in Idaho. The address on file for DALLAS ELWOOD PETERSON is 440 S 2nd W Snowflake AZ 85937. This licensed professional license is not current. The license was granted 09/10/1994 and expired on 07/05/1995.

Idaho

Division of Occupational and Professional Licenses

DALLAS ELWOOD PETERSON
Board Of Medicine
License number
M-6558
Date granted
09/10/1994
Date expires
07/05/1995
Class
Board Of Medicine
Status
Canceled
Address
440 S 2nd W Snowflake AZ 85937
idaholicensing.com
ID 48348821
LAST UPDATED 2024-04-06 09:47:33 UTC

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