ANDREW THOMAS PETERS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072345

License Status

CANCELLED

Business

Title

First Name

ANDREW

Middle

THOMAS

Last Name

PETERS

Business Name

ANDREW THOMAS PETERS MD

Original Issue Date

06/20/2018

Effective Date

06/20/2018

Expiration Date

06/19/2021

City

MINNEAPOLIS

State

Zip

55455

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/17/2018