License holder summary

ERICA LIVIA PETERSON is a Board Of Medicine licensed to practice in Idaho. The address on file for ERICA LIVIA PETERSON is 8580 Theisen Rd Belgrade MT 59714. This licensed professional license is not current. The license was granted 05/30/2002 and expired on 06/30/2005.

Idaho

Division of Occupational and Professional Licenses

ERICA LIVIA PETERSON
Board Of Medicine
License number
M-8515
Date granted
05/30/2002
Date expires
06/30/2005
Class
Board Of Medicine
Status
Canceled
Address
8580 Theisen Rd Belgrade MT 59714
idaholicensing.com
ID 48348829
LAST UPDATED 2024-03-30 06:45:04 UTC

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