MICHAEL E PETERSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073842

License Status

INACTIVE

Business

First Name

MICHAEL E

Last Name

PETERSON

Suffix

Business Name

MICHAEL E PETERSON MD

Original Issue Date

10/01/1986

Effective Date

10/01/1986

Expiration Date

07/31/1990

City

WALLINGFORD

State

Zip

19086

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

09/20/2006