DANIEL L. PETERSON

Idaho  M-3933   Canceled

This Idaho license was held by DANIEL L. PETERSON. The license is no longer active. It was granted on 05/05/1979 and expired on 07/02/1996

LICENSE DETAILS

  • License Number: M-3933
  • Category: Board Of Medicine
  • Status: Canceled
  • Date Granted: 05/05/1979 (about 46 years ago)
  • Expiry Date: 07/02/1996 (almost 29 years ago)

LOCATIONS

A Residential

PO Box 7870 Incline Village NV 89452