License holder summary

PETER MERLE MIKKELSEN is a Board Of Medicine licensed to practice in Idaho. The address on file for PETER MERLE MIKKELSEN is 275 E 200 S SALT LAKE CITY UT 84111. This licensed professional license is current. The license was granted 06/27/2003 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

PETER MERLE MIKKELSEN
Board Of Medicine
License number
M-8824
Date granted
06/27/2003
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
275 E 200 S SALT LAKE CITY UT 84111
idaholicensing.com
ID 48354380
LAST UPDATED 2026-03-29 23:51:15 UTC

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