License holder summary

KENT WRIGHT PETERSON is a Board Of Medicine licensed to practice in Idaho. The address on file for KENT WRIGHT PETERSON is 901 PRESTON AVE STE 400 CHARLOTTESVILLE VA 22903. This licensed professional license is current. The license was granted 12/16/2004 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

KENT WRIGHT PETERSON
Board Of Medicine
License number
M-9202
Date granted
12/16/2004
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
901 PRESTON AVE STE 400 CHARLOTTESVILLE VA 22903
idaholicensing.com
ID 48362283
LAST UPDATED 2024-03-12 22:13:58 UTC

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