Idaho
Division of Occupational and Professional Licenses
ERIC J PETERSEN
Board Of Medicine
License number
MRM-0942
Date granted
06/20/2007
Date expires
07/29/2007
Class
Board Of Medicine
Status
Expired
Address
FAMILY MEDICINE SPOKANE SPOKANE WA 99204
idaholicensing.com
ID 48348771
LAST UPDATED 2026-03-30 17:29:06 UTC
LAST UPDATED 2026-03-30 17:29:06 UTC
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