PATRICK EDWARD PETERSON DO Medical Doctor License verification

PATRICK EDWARD PETERSON DO

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

PATRICK

Middle

EDWARD

Last Name

PETERSON

Suffix

Business Name

PATRICK EDWARD PETERSON DO

Original Issue Date

12/06/2000

Effective Date

06/24/2014

Expiration Date

07/31/2017

City

HARRISBURG

State

Zip

62946

County

SALINE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017

Case Number

2000007417

Action

Probation

Discipline Start Date

10/26/2000

Discipline End Date

10/26/2003

Discipline Reason

Controlled substance problem.