License holder summary

LAURENCE ROBERT PETERSON is a Board Of Medicine licensed to practice in Idaho. The address on file for LAURENCE ROBERT PETERSON is 1310 E Division Mount Vernon WA 98274. This licensed professional license is not current. The license was granted 04/14/1999 and expired on 07/01/1974.

Idaho

Division of Occupational and Professional Licenses

LAURENCE ROBERT PETERSON
Board Of Medicine
License number
M-7719
Date granted
04/14/1999
Date expires
07/01/1974
Class
Board Of Medicine
Status
Canceled
Address
1310 E Division Mount Vernon WA 98274
idaholicensing.com
ID 48362287
LAST UPDATED 2024-03-14 03:06:24 UTC

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