License holder summary

JEFF REGAN PETERSON is a Board Of Medicine licensed to practice in Idaho. The address on file for JEFF REGAN PETERSON is 15306 SE 42nd St Bellevue WA 98006. This licensed professional license is not current. The license was granted 10/02/1998 and expired on 05/31/1998.

Idaho

Division of Occupational and Professional Licenses

JEFF REGAN PETERSON
Board Of Medicine
License number
MI-7618
Date granted
10/02/1998
Date expires
05/31/1998
Class
Board Of Medicine
Status
Canceled
Address
15306 SE 42nd St Bellevue WA 98006
idaholicensing.com
ID 48348838
LAST UPDATED 2024-03-21 07:04:19 UTC

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