CAROL ELIZABETH PETERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061936

License Status

NOT RENEWED

Business

First Name

CAROL

Middle

ELIZABETH

Last Name

PETERSON

Suffix

Business Name

CAROL ELIZABETH PETERSON MD

Original Issue Date

04/02/1981

Effective Date

05/15/2017

Expiration Date

09/30/2020

City

LUDINGTON

State

Zip

49431

County

MICHIGAN

Ever Disciplined

LastModifiedDate

01/14/2021