License holder summary

MICHAEL JAMES PETERSON is a Board Of Medicine licensed to practice in Idaho. The address on file for MICHAEL JAMES PETERSON is 5092 Yellow Sage Ct HERRIMAN UT 84065. This licensed professional license is not current. The license was granted 10/01/2001 and expired on 06/30/2004.

Idaho

Division of Occupational and Professional Licenses

MICHAEL JAMES PETERSON
Board Of Medicine
License number
M-8335
Date granted
10/01/2001
Date expires
06/30/2004
Class
Board Of Medicine
Status
Canceled
Address
5092 Yellow Sage Ct HERRIMAN UT 84065
idaholicensing.com
ID 48362302
LAST UPDATED 2024-04-07 22:17:02 UTC

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