DIANE Y PETERSEN MD - Medical Doctor License in California | # 036067246

DIANE Y PETERSEN MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067246

License Status

INACTIVE

Business

N

First Name

DIANE Y

Last Name

PETERSEN

Suffix

MD

Business Name

DIANE Y PETERSEN MD

Original Issue Date

08/17/1983

Effective Date

08/17/1983

Expiration Date

07/31/1987

State

CA

Ever Disciplined

N

LastModifiedDate

09/20/2006