JACQUELINE ANN PETERS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

ACTIVE

Business

Title

First Name

JACQUELINE

Middle

ANN

Last Name

PETERS

Business Name

JACQUELINE ANN PETERS MD

Original Issue Date

02/07/2002

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

GRAND HAVEN

State

Zip

49417

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/02/2023