Idaho
Division of Occupational and Professional Licenses
ERNEST C PETERSON
Board Of Medicine
License number
M-4978
Date granted
09/12/1985
Date expires
08/01/2016
Class
Board Of Medicine
Status
Canceled
Address
7212 Avon St Boise ID 83704
idaholicensing.com
ID 48348830
LAST UPDATED 2024-03-22 04:11:35 UTC
LAST UPDATED 2024-03-22 04:11:35 UTC
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