BRUCE PATTEN PETERSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053478

License Status

INACTIVE

Business

First Name

BRUCE PATTEN

Last Name

PETERSON

Suffix

Business Name

BRUCE PATTEN PETERSON MD

Original Issue Date

08/25/1976

Effective Date

07/12/2017

Expiration Date

09/30/2020

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/05/2020