Idaho
Division of Occupational and Professional Licenses
MARTIN J PETERSEN
Board Of Medicine
License number
M-2742
Date granted
07/12/1966
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
PO BOX 3018 SUN VALLEY ID 83353
idaholicensing.com
ID 48348786
LAST UPDATED 2024-02-07 12:19:09 UTC
LAST UPDATED 2024-02-07 12:19:09 UTC
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