MARK A PETERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095764

License Status

NOT RENEWED

Business

First Name

MARK A

Last Name

PETERSON

Suffix

Business Name

MARK A PETERSON MD

Original Issue Date

06/25/1997

Effective Date

06/25/1997

Expiration Date

07/31/1999

City

ROCKVILLE

State

Zip

20850

County

MARYLAND

Ever Disciplined

LastModifiedDate

09/20/2006