Idaho
Division of Occupational and Professional Licenses
Dr. EMILY LARA PETERSEN
Board Of Medicine
License number
M-11299
Date granted
05/25/2011
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
700 Ironwood Ave. Ste. 375 Coeur D Alene ID 83814
idaholicensing.com
ID 48348769
LAST UPDATED 2024-03-25 02:13:37 UTC
LAST UPDATED 2024-03-25 02:13:37 UTC
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