License holder summary

FREDERICK L. PETERSON is a Board Of Medicine licensed to practice in Idaho. The address on file for FREDERICK L. PETERSON is Cottonwood ID. This licensed professional license is not current. The license was granted 10/05/1920 and expired on 10/05/1920.

Idaho

Division of Occupational and Professional Licenses

FREDERICK L. PETERSON
Board Of Medicine
License number
M-1164
Date granted
10/05/1920
Date expires
10/05/1920
Class
Board Of Medicine
Status
Canceled
Address
Cottonwood ID
idaholicensing.com
ID 48348831
LAST UPDATED 2024-02-28 06:01:24 UTC

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