LARRY DEAN PETERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052660

License Status

NOT RENEWED

Business

First Name

LARRY DEAN

Last Name

PETERSON

Suffix

Business Name

LARRY DEAN PETERSON MD

Original Issue Date

04/15/1976

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

01/14/2021