DAVID SIGURD PETERSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

ACTIVE

Business

First Name

DAVID SIGURD

Last Name

PETERSEN

Suffix

Business Name

DAVID SIGURD PETERSEN MD

Original Issue Date

01/01/1997

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

MOLINE

State

Zip

61201

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/22/2023