License holder summary

MARK L PETERSEN is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for MARK L PETERSEN is IDAHO FALLS, ID 83404. This licensed professional license is not current. The license was granted 04/06/1984 and expired on 01/31/2006.

Utah

Division of Occupational and Professional Licensing

MARK L PETERSEN
Physician - Physician & Surgeon
License number
170582-1205
Date granted
04/06/1984
Date expires
01/31/2006
Class
Physician - Physician & Surgeon
Status
Expired
Address
IDAHO FALLS, ID 83404
utahlicensing.org
ID 29929744
LAST UPDATED 2024-03-26 09:03:16 UTC

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