AMBER M PETERSON Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116852

License Status

INACTIVE

Business

First Name

AMBER

Middle

Last Name

PETERSON

Business Name

AMBER M PETERSON

Original Issue Date

08/31/2006

Effective Date

04/23/2014

Expiration Date

07/31/2017

City

GENESEO

State

Zip

61254

County

HENRY

Ever Disciplined

LastModifiedDate

04/12/2017