MARK ERIC PETERSON
Idaho PGT-058 Upgraded
This Idaho license was held by MARK ERIC PETERSON. The license is no longer active. It was granted on 11/17/2008
LICENSE DETAILS
- License Number: PGT-058
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 11/17/2008 (over 16 years ago)
LOCATIONS
A Residential
2790 W CHERRY LANE Meridian ID 83642