License holder summary

JAMES HERRING PETERSEN is a Board Of Medicine licensed to practice in Idaho. The address on file for JAMES HERRING PETERSEN is 5319 SW Westgate Dr Ste 241 Portland OR 97221. This licensed professional license is not current. The license was granted 09/28/1992 and expired on 06/30/2001.

Idaho

Division of Occupational and Professional Licenses

JAMES HERRING PETERSEN
Board Of Medicine
License number
M-6095
Date granted
09/28/1992
Date expires
06/30/2001
Class
Board Of Medicine
Status
Canceled
Address
5319 SW Westgate Dr Ste 241 Portland OR 97221
idaholicensing.com
ID 48348777
LAST UPDATED 2024-01-27 20:48:02 UTC

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