ALEC WILLIAM PETERSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036167875

License Status

ACTIVE

Business

Title

First Name

ALEC

Middle

WILLIAM

Last Name

PETERSEN

Business Name

ALEC WILLIAM PETERSEN MD

Original Issue Date

12/05/2023

Effective Date

12/05/2023

Expiration Date

07/31/2026

City

TAMPA

State

Zip

33609

Ever Disciplined

LastModifiedDate

12/05/2023