PETER REID KONGSTVEDT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060128

License Status

NOT RENEWED

Business

First Name

PETER REID

Last Name

KONGSTVEDT

Suffix

Business Name

PETER REID KONGSTVEDT MD

Original Issue Date

03/11/1980

Effective Date

03/11/1980

Expiration Date

07/31/1987

City

LINCOLN

State

Zip

68508

County

NEBRASKA

Ever Disciplined

LastModifiedDate

09/20/2006