MARK ERIC PETERSON
Idaho PSG-102 Renewed
This Idaho license is held by MARK ERIC PETERSON. The license is currently active. It was granted on 05/23/2012 and expired on 06/30/2017
LICENSE DETAILS
- License Number: PSG-102
- Category: Board Of Medicine
- Status: Renewed
- Date Granted: 05/23/2012 (almost 13 years ago)
- Expiry Date: 06/30/2017 (almost 8 years ago)
LOCATIONS
A Residential
2790 W CHERRY LANE Meridian ID 83642
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