Utah
Division of Occupational and Professional Licensing
SHANE LEWIS PETERSEN
Physician - Physician & Surgeon
License number
2434068-1205
Date granted
10/01/2002
Date expires
01/31/2016
Class
Physician - Physician & Surgeon
Status
Active
Address
COTTONWOOD HEIGHTS, UT 84121
utahlicensing.org
ID 29934606
LAST UPDATED 2026-03-08 12:33:56 UTC
LAST UPDATED 2026-03-08 12:33:56 UTC
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