Idaho
Division of Occupational and Professional Licenses
STEPHANIE ROSE PETERMAN
Board Of Medicine
License number
D-908
Date granted
02/08/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
PO BOX 463 ROCK SPRINGS WY 82901
idaholicensing.com
ID 48348742
LAST UPDATED 2024-02-29 20:13:45 UTC
LAST UPDATED 2024-02-29 20:13:45 UTC
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