MARTIN J PETERSEN

Idaho  M-2742   Renewed

This Idaho license is held by MARTIN J PETERSEN. The license is currently active. It was granted on 07/12/1966 and expired on 06/30/2017

LICENSE DETAILS

  • License Number: M-2742
  • Category: Board Of Medicine
  • Status: Renewed
  • Date Granted: 07/12/1966 (over 58 years ago)
  • Expiry Date: 06/30/2017 (almost 8 years ago)

LOCATIONS

A Residential

PO BOX 3018 SUN VALLEY ID 83353