Idaho
Division of Occupational and Professional Licenses
Dr. JOHN M PETERSON
Board Of Medicine
License number
M-11386
Date granted
07/29/2011
Date expires
08/01/2013
Class
Board Of Medicine
Status
Canceled
Address
150 KENNETH FORD DRIVE ROSEBURG OR 97470
idaholicensing.com
ID 48348842
LAST UPDATED 2024-03-17 22:13:48 UTC
LAST UPDATED 2024-03-17 22:13:48 UTC
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