JOSEPH D PETERSEN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000646

License Status

EXPIRED

Business

Title

First Name

JOSEPH

Middle

Last Name

PETERSEN

Business Name

JOSEPH D PETERSEN DO

Original Issue Date

09/01/2016

Effective Date

09/01/2016

Expiration Date

02/28/2017

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Specialty/Qualifier

Family Practice

Ever Disciplined

LastModifiedDate

05/09/2017