License holder summary

WILEY DREW PETERSEN is a Board Of Medicine licensed to practice in Idaho. The address on file for WILEY DREW PETERSEN is 5014 MARY LN CHUBBUCK ID 83202. This licensed professional license is current. The license was granted 09/01/2016 and expired on 08/03/2018.

Idaho

Division of Occupational and Professional Licenses

WILEY DREW PETERSEN
Board Of Medicine
License number
PAT-1438
Date granted
09/01/2016
Date expires
08/03/2018
Class
Board Of Medicine
Status
Licensed
Address
5014 MARY LN CHUBBUCK ID 83202
idaholicensing.com
ID 48348796
LAST UPDATED 2024-02-11 03:45:12 UTC

This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.

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