ANDREW JOSEPH PETERSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

ACTIVE

Business

Title

First Name

ANDREW

Middle

JOSEPH

Last Name

PETERSON

Business Name

ANDREW JOSEPH PETERSON MD

Original Issue Date

04/29/2021

Effective Date

04/29/2023

Expiration Date

07/31/2026

City

GALVA

State

Zip

61434

County

HENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/29/2023