SCOTT C PETERSON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098119

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

Last Name

PETERSON

Suffix

Business Name

SCOTT C PETERSON DO

Original Issue Date

06/29/1998

Effective Date

06/29/1998

Expiration Date

07/31/2002

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

02/19/2019