License holder summary

MARK WILLIAM PETERSON is a Board Of Medicine licensed to practice in Idaho. The address on file for MARK WILLIAM PETERSON is 1411 24th Ave. Lewiston ID 83501. This licensed professional license is current. The license was granted 06/24/1987 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

MARK WILLIAM PETERSON
Board Of Medicine
License number
M-5240
Date granted
06/24/1987
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
1411 24th Ave. Lewiston ID 83501
idaholicensing.com
ID 48362295
LAST UPDATED 2024-04-23 06:13:48 UTC

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