Idaho
Division of Occupational and Professional Licenses
PETER WADE BEALL
Board Of Medicine
License number
M-5512
Date granted
05/23/1989
Date expires
06/30/2003
Class
Board Of Medicine
Status
Canceled
Address
2631 16th St Clarkston WA 99403
idaholicensing.com
ID 48335770
LAST UPDATED 2024-04-22 01:41:34 UTC
LAST UPDATED 2024-04-22 01:41:34 UTC
This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.