License holder summary

Dr. JOHN M PETERSON is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. JOHN M PETERSON is 150 KENNETH FORD DRIVE ROSEBURG OR 97470. This licensed professional license is not current. The license was granted 07/29/2011 and expired on 08/01/2013.

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

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