Idaho
Division of Occupational and Professional Licenses
PETER K BOOTHMAN
Board Of Medicine
License number
MSM-0254
Date granted
05/20/2013
Date expires
05/20/2014
Class
Board Of Medicine
Status
Expired
Address
535 NE MORTON ST APT 2B PULLMAN WA 99163
idaholicensing.com
ID 48336948
LAST UPDATED 2024-02-19 11:47:24 UTC
LAST UPDATED 2024-02-19 11:47:24 UTC
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