DEAN GRANT PETERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038712

License Status

NOT RENEWED

Business

First Name

DEAN GRANT

Last Name

PETERSON

Suffix

Business Name

DEAN GRANT PETERSON MD

Original Issue Date

09/20/1963

Effective Date

09/20/1963

Expiration Date

07/31/1987

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

09/20/2006