Idaho
Division of Occupational and Professional Licenses
MR. JOSEPH WAYNE PETRIE
Board Of Medicine
License number
PA-1129
Date granted
11/22/2013
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
2001 E. Quail Run Rd EMMETT ID 83617
idaholicensing.com
ID 48371819
LAST UPDATED 2024-03-14 10:54:13 UTC
LAST UPDATED 2024-03-14 10:54:13 UTC
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