MICHAEL PETERSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036167663

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Last Name

PETERSON

Business Name

MICHAEL PETERSON MD

Original Issue Date

11/13/2023

Effective Date

11/13/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63118

Ever Disciplined

LastModifiedDate

09/14/2023