License holder summary

DR. CHAD ALLAN PETERSON is a Board Of Medicine licensed to practice in Idaho. The address on file for DR. CHAD ALLAN PETERSON is 2292 E MOUNTAIN VISTA DRIVE COEUR D ALENE ID 83815. This licensed professional license is current. The license was granted 03/25/2009 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

DR. CHAD ALLAN PETERSON
Board Of Medicine
License number
M-10619
Date granted
03/25/2009
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
2292 E MOUNTAIN VISTA DRIVE COEUR D ALENE ID 83815
idaholicensing.com
ID 48348817
LAST UPDATED 2024-03-23 18:49:05 UTC

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