License holder summary

WINSTON NEPHI PETERSEN is a Board Of Medicine licensed to practice in Idaho. The address on file for WINSTON NEPHI PETERSEN is 1173 Russell Road Eagle Mountain UT 84005. This licensed professional license is current. The license was granted 10/12/2007.

Idaho

Division of Occupational and Professional Licenses

WINSTON NEPHI PETERSEN
Board Of Medicine
License number
PA-711
Date granted
10/12/2007
Class
Board Of Medicine
Status
Active
Address
1173 Russell Road Eagle Mountain UT 84005
idaholicensing.com
ID 48348797
LAST UPDATED 2024-04-02 02:02:32 UTC

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