MICHAEL AUSTIN PETERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109862

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

AUSTIN

Last Name

PETERSON

Suffix

Business Name

MICHAEL AUSTIN PETERSON MD

Original Issue Date

08/05/2003

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

EDINA

State

Zip

55436

Ever Disciplined

LastModifiedDate

11/06/2008