DAVID SIGURD PETERSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055984

License Status

ACTIVE

Business

First Name

DAVID SIGURD

Last Name

PETERSEN

Suffix

Business Name

DAVID SIGURD PETERSEN MD

Original Issue Date

11/01/1977

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

MOLINE

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

06/22/2023