JEFFREY DAVID PETERSOHN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150135

License Status

NOT RENEWED

Business

Title

First Name

JEFFREY

Middle

DAVID

Last Name

PETERSOHN

Business Name

JEFFREY DAVID PETERSOHN MD

Original Issue Date

07/05/2019

Effective Date

07/05/2019

Expiration Date

09/30/2020

City

PENN VALLEY

State

Zip

19072

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

01/14/2021