PHILLIP H PETERSEN
Idaho SPHY-5405 Renewed
This Idaho license is held by PHILLIP H PETERSEN. The license is currently active. It was granted on 09/06/1988 and expired on 12/31/2016
LICENSE DETAILS
- License Number: SPHY-5405
- Category: Board Of Medicine
- Status: Renewed
- Date Granted: 09/06/1988 (over 35 years ago)
- Expiry Date: 12/31/2016 (over 7 years ago)
LOCATIONS
A Residential
301 Cedar Orofino ID 83544
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