License holder summary

JAMES DEL VAR PETERSEN is a Board Of Medicine licensed to practice in Idaho. The address on file for JAMES DEL VAR PETERSEN is 709 S DEAKIN ST MOSCOW ID 83843. This licensed professional license is current. The license was granted 08/17/2016 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

JAMES DEL VAR PETERSEN
Board Of Medicine
License number
MSM-0747
Date granted
08/17/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
709 S DEAKIN ST MOSCOW ID 83843
idaholicensing.com
ID 48348776
LAST UPDATED 2024-04-18 22:35:22 UTC

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