BRIAN WOODFORD PETERSEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140275

License Status

INACTIVE

Business

Title

First Name

BRIAN

Middle

WOODFORD

Last Name

PETERSEN

Business Name

BRIAN WOODFORD PETERSEN MD

Original Issue Date

04/06/2016

Effective Date

04/06/2016

Expiration Date

07/31/2017

City

DENVER

State

Zip

80206

Ever Disciplined

LastModifiedDate

07/26/2017