License holder summary

PETER F PETERSEN is a Board Of Medicine licensed to practice in Idaho. The address on file for PETER F PETERSEN is 730 E HIGHLAND VIEW DR BOISE ID 83702. This licensed professional license is not current. The license was granted 07/09/1972 and expired on 08/01/2014.

Idaho

Division of Occupational and Professional Licenses

PETER F PETERSEN
Board Of Medicine
License number
M-3064
Date granted
07/09/1972
Date expires
08/01/2014
Class
Board Of Medicine
Status
Canceled
Address
730 E HIGHLAND VIEW DR BOISE ID 83702
idaholicensing.com
ID 48348787
LAST UPDATED 2024-02-25 00:40:15 UTC

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