JUDITH R PETERSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076327

License Status

INACTIVE

Business

First Name

JUDITH R

Last Name

PETERSON

Suffix

Business Name

JUDITH R PETERSON MD

Original Issue Date

11/10/1987

Effective Date

11/10/1987

Expiration Date

07/31/1990

City

WELLINGFORD

State

Zip

19086

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

09/20/2006