DIANE Y PETERSEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067246

License Status

INACTIVE

Business

First Name

DIANE Y

Last Name

PETERSEN

Suffix

Business Name

DIANE Y PETERSEN MD

Original Issue Date

08/17/1983

Effective Date

08/17/1983

Expiration Date

07/31/1987

City

CULVER CITY

State

Zip

90230

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006