MARITSA T PEDERSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

First Name

MARITSA T

Last Name

PEDERSEN

Suffix

Business Name

MARITSA T PEDERSEN MD

Original Issue Date

05/07/1999

Effective Date

07/27/2017

Expiration Date

09/30/2020

City

OLATHE

State

Zip

66062

County

JOHNSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021