Utah
Division of Occupational and Professional Licensing
GRANT MARK PETERSON
Physician - Physician & Surgeon
License number
151682-1205
Date granted
08/17/1970
Date expires
01/31/2006
Class
Physician - Physician & Surgeon
Status
Expired
Address
BLACKFOOT, ID 83221
utahlicensing.org
ID 29924423
LAST UPDATED 2024-02-22 11:17:12 UTC
LAST UPDATED 2024-02-22 11:17:12 UTC
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