License holder summary

JOSEPH RAYMOND PETERSEN is a Board Of Medicine licensed to practice in Idaho. The address on file for JOSEPH RAYMOND PETERSEN is 1344 Hiland Avenue, Suite A Burley ID 83318. This licensed professional license is current. The license was granted 10/31/1987 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

JOSEPH RAYMOND PETERSEN
Board Of Medicine
License number
M-5283
Date granted
10/31/1987
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1344 Hiland Avenue, Suite A Burley ID 83318
idaholicensing.com
ID 48348780
LAST UPDATED 2024-03-11 00:11:48 UTC

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