JEFFREY DAVID PETERSOHN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

Title

First Name

JEFFREY

Middle

DAVID

Last Name

PETERSOHN

Business Name

JEFFREY DAVID PETERSOHN MD

Original Issue Date

08/07/2019

Effective Date

08/07/2019

Expiration Date

09/30/2020

City

PENN VALLEY

State

Zip

19072

County

MONTGOMERY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021