License holder summary

MARK L PETERSEN is a Board Of Medicine licensed to practice in Idaho. The address on file for MARK L PETERSEN is 2940 Balboa Dr Idaho Falls ID 83404. This licensed professional license is not current. The license was granted 04/03/1985 and expired on 08/01/2016.

Idaho

Division of Occupational and Professional Licenses

MARK L PETERSEN
Board Of Medicine
License number
M-4885
Date granted
04/03/1985
Date expires
08/01/2016
Class
Board Of Medicine
Status
Canceled
Address
2940 Balboa Dr Idaho Falls ID 83404
idaholicensing.com
ID 48348785
LAST UPDATED 2026-04-10 19:11:39 UTC

This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.

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