CHRISTINE MARIE PETERSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055140

License Status

INACTIVE

Business

First Name

CHRISTINE MARIE

Last Name

PETERSON

Suffix

Business Name

CHRISTINE MARIE PETERSON MD

Original Issue Date

07/18/1977

Effective Date

07/18/1977

Expiration Date

07/31/1987

City

KENSINGTON

State

Zip

20895

County

MARYLAND

Ever Disciplined

LastModifiedDate

09/20/2006