TIMOTHY AARON PETERSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

ACTIVE

Business

Title

First Name

TIMOTHY

Middle

AARON

Last Name

PETERSON

Business Name

TIMOTHY AARON PETERSON MD

Original Issue Date

12/11/2024

Effective Date

12/11/2024

Expiration Date

07/31/2026

City

GRAND FORKS

State

Zip

58201

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/11/2024