License holder summary

MS. ANNE MARIE PETERSON is a Board Of Medicine licensed to practice in Idaho. The address on file for MS. ANNE MARIE PETERSON is 11142 W SHAY PARK DR NAMPA ID 83686. This licensed professional license is current. The license was granted 10/18/2013 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

MS. ANNE MARIE PETERSON
Board Of Medicine
License number
PA-1112
Date granted
10/18/2013
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
11142 W SHAY PARK DR NAMPA ID 83686
idaholicensing.com
ID 48348807
LAST UPDATED 2024-01-28 19:09:08 UTC

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