License holder summary

PEGGY MANSFIELD is a Board Of Medicine licensed to practice in Idaho. The address on file for PEGGY MANSFIELD is 4455 N Shoreline Dr KEIZER OR 97303. This licensed professional license is not current. The license was granted 08/18/1983 and expired on 06/30/2004.

Idaho

Division of Occupational and Professional Licenses

PEGGY MANSFIELD
Board Of Medicine
License number
M-4683
Date granted
08/18/1983
Date expires
06/30/2004
Class
Board Of Medicine
Status
Canceled
Address
4455 N Shoreline Dr KEIZER OR 97303
idaholicensing.com
ID 48350017
LAST UPDATED 2024-02-12 06:49:26 UTC

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