RANDALL BENJAMIN PETERS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132686

License Status

NOT RENEWED

Business

Title

First Name

RANDALL

Middle

BENJAMIN

Last Name

PETERS

Business Name

RANDALL BENJAMIN PETERS MD

Original Issue Date

04/30/2013

Effective Date

06/12/2017

Expiration Date

09/30/2020

City

CARTHAGE

State

Zip

62321

County

HANCOCK

Ever Disciplined

LastModifiedDate

01/14/2021