GORDON KERMIT PETERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036035457

License Status

NOT RENEWED

Business

First Name

GORDON KERMIT

Last Name

PETERSON

Suffix

Business Name

GORDON KERMIT PETERSON MD

Original Issue Date

08/28/1958

Effective Date

08/28/1958

City

SALEM

State

Zip

97301

County

OREGON

Ever Disciplined

LastModifiedDate

09/20/2006