Idaho
Division of Occupational and Professional Licenses
KYLIE PETERSON
Board Of Medicine
License number
D-900
Date granted
10/13/2015
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
801 B STREET RUPERT ID 83350
idaholicensing.com
ID 48362286
LAST UPDATED 2024-02-16 17:32:37 UTC
LAST UPDATED 2024-02-16 17:32:37 UTC
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