License holder summary

Dr. ITHAN DANIEL PELTAN is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. ITHAN DANIEL PELTAN is INTERMOUNTAIN MEDICAL CENTER, SHOCK TRAUMA ICU Murray UT 84107. This licensed professional license is current. The license was granted 11/02/2015 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

Dr. ITHAN DANIEL PELTAN
Board Of Medicine
License number
M-13091
Date granted
11/02/2015
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
INTERMOUNTAIN MEDICAL CENTER, SHOCK TRAUMA ICU Murray UT 84107
idaholicensing.com
ID 48357825
LAST UPDATED 2026-05-30 19:08:09 UTC

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