License holder summary

MARK ERIC PETERSON is a Board Of Medicine licensed to practice in Idaho. The address on file for MARK ERIC PETERSON is 2790 W CHERRY LANE Meridian ID 83642. This licensed professional license is not current. The license was granted 11/17/2008.

Idaho

Division of Occupational and Professional Licenses

MARK ERIC PETERSON
Board Of Medicine
License number
PGT-058
Date granted
11/17/2008
Class
Board Of Medicine
Status
Upgraded
Address
2790 W CHERRY LANE Meridian ID 83642
idaholicensing.com
ID 48362293
LAST UPDATED 2024-03-02 19:23:09 UTC

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