Idaho
Division of Occupational and Professional Licenses
EDWIN P. PETERSON
Board Of Medicine
License number
M-1934
Date granted
07/21/1948
Date expires
07/14/1948
Class
Board Of Medicine
Status
Canceled
Address
260 Wildwood Road Ukiah CA 95482
idaholicensing.com
ID 48348828
LAST UPDATED 2024-04-25 22:42:54 UTC
LAST UPDATED 2024-04-25 22:42:54 UTC
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