Idaho
Division of Occupational and Professional Licenses
GRANT M PETERSON
Board Of Medicine
License number
M-3589
Date granted
01/16/1977
Class
Board Of Medicine
Status
Canceled
Address
1441 Parkway Dr BLACKFOOT ID 83221
idaholicensing.com
ID 48348832
LAST UPDATED 2024-04-06 12:07:23 UTC
LAST UPDATED 2024-04-06 12:07:23 UTC
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