BRUCE WAYNE PETERSON
Idaho RTS-698 Expired
This Idaho license was held by BRUCE WAYNE PETERSON. The license is no longer active. It was granted on 10/30/2014 and expired on 09/01/2016
LICENSE DETAILS
- License Number: RTS-698
- Category: Board Of Medicine
- Status: Expired
- Date Granted: 10/30/2014 (over 9 years ago)
- Expiry Date: 09/01/2016 (over 7 years ago)
LOCATIONS
A Residential
384 W 300 N BLACKFOOT ID 83221