Idaho
Division of Occupational and Professional Licenses
PETER B. DANE
Board Of Medicine
License number
O-15
Date granted
01/17/1977
Date expires
06/30/1989
Class
Board Of Medicine
Status
Canceled
Address
8590 Lavelle Rd. Athens OH 45701
idaholicensing.com
ID 48344677
LAST UPDATED 2024-03-26 17:51:05 UTC
LAST UPDATED 2024-03-26 17:51:05 UTC
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