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 12 years ago)
  • Expiry Date: 06/30/2017 (almost 7 years ago)

LOCATIONS

A Residential

2790 W CHERRY LANE Meridian ID 83642