License holder summary

JAKE DAVID PETERSON is a Board Of Medicine licensed to practice in Idaho. The address on file for JAKE DAVID PETERSON is 3908 E 500 N RIGBY ID 83442. This licensed professional license is current. The license was granted 06/09/2016 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

JAKE DAVID PETERSON
Board Of Medicine
License number
LRT-1953
Date granted
06/09/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
3908 E 500 N RIGBY ID 83442
idaholicensing.com
ID 48348835
LAST UPDATED 2024-03-11 11:33:39 UTC

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