GUY A PETERSEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073233

License Status

INACTIVE

Business

First Name

GUY A

Last Name

PETERSEN

Suffix

Business Name

GUY A PETERSEN MD

Original Issue Date

07/18/1986

Effective Date

07/18/1986

Expiration Date

07/31/1996

City

TUCSON

State

Zip

85750

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/20/2006