JOHN AUSTIN PETERSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083081

License Status

ACTIVE

Business

First Name

JOHN AUSTIN

Last Name

PETERSON

Suffix

Business Name

JOHN AUSTIN PETERSON MD

Original Issue Date

07/24/1991

Effective Date

06/10/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

06/10/2023