ROBERT LYNN PETERSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156240

License Status

ACTIVE

Business

Title

First Name

ROBERT

Middle

LYNN

Last Name

PETERSEN

Business Name

ROBERT LYNN PETERSEN MD

Original Issue Date

03/24/2021

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63104

Ever Disciplined

LastModifiedDate

07/27/2023