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
LAST UPDATED 2026-05-30 19:08:09 UTC
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