PATRICK EDWARD PETERSON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103715

License Status

NOT RENEWED

Business

First Name

PATRICK

Middle

EDWARD

Last Name

PETERSON

Suffix

Business Name

PATRICK EDWARD PETERSON DO

Original Issue Date

10/26/2000

Effective Date

06/16/2014

Expiration Date

07/31/2017

City

HARRISBURG

State

Zip

62946

County

SALINE

Ever Disciplined

LastModifiedDate

11/01/2017

Case Number

2000007417

Action

Probation

Discipline Start Date

10/26/2000

Discipline End Date

10/26/2003

Discipline Reason

Controlled substance problem.