DEWARD D PETERSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063527

License Status

INACTIVE

Business

First Name

DEWARD D

Last Name

PETERSON

Suffix

Business Name

DEWARD D PETERSON MD

Original Issue Date

11/05/1981

Effective Date

11/05/1981

Expiration Date

07/31/1987

City

TERRE HAUTE

State

Zip

47802

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006