GARY H PETERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091564

License Status

NOT RENEWED

Business

First Name

GARY H

Last Name

PETERSON

Suffix

Business Name

GARY H PETERSON MD

Original Issue Date

08/09/1995

Effective Date

08/09/1995

Expiration Date

07/31/1999

City

LOUISVILLE

State

Zip

40204

County

KENTUCKY

Ever Disciplined

LastModifiedDate

09/20/2006