ANDREW MITCHELL PETERSON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086238

License Status

ACTIVE

Business

Title

First Name

ANDREW

Middle

MITCHELL

Last Name

PETERSON

Business Name

ANDREW MITCHELL PETERSON DO

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

City

QUINCY

State

Zip

62301

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/05/2025