ROGER DWIGHT PETERSEN MD - Medical Doctor License in Florida | # 036040486

ROGER DWIGHT PETERSEN MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040486

License Status

INACTIVE

Business

N

First Name

ROGER DWIGHT

Last Name

PETERSEN

Suffix

MD

Business Name

ROGER DWIGHT PETERSEN MD

Original Issue Date

07/05/1966

Effective Date

07/05/1966

Expiration Date

07/31/1987

State

FL

Ever Disciplined

N

LastModifiedDate

09/20/2006