License holder summary

ROBERT LAWRENCE PETERSEN is a Board Of Medicine licensed to practice in Idaho. The address on file for ROBERT LAWRENCE PETERSEN is 1055 N Curtis Rd. Boise ID 83706. This licensed professional license is current. The license was granted 09/09/2000 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

ROBERT LAWRENCE PETERSEN
Board Of Medicine
License number
M-8085
Date granted
09/09/2000
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1055 N Curtis Rd. Boise ID 83706
idaholicensing.com
ID 48348791
LAST UPDATED 2024-03-12 18:11:47 UTC

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