BRENT P PETERSON DO - Medical Doctor License in Michigan | # 036092091

BRENT P PETERSON DO

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092091

License Status

INACTIVE

Business

N

First Name

BRENT P

Last Name

PETERSON

Suffix

DO

Business Name

BRENT P PETERSON DO

Original Issue Date

10/18/1995

Effective Date

10/18/1995

Expiration Date

07/31/1996

State

MI

Ever Disciplined

N

LastModifiedDate

10/06/2017