HEATHER RAE PECK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139839

License Status

INACTIVE

Business

Title

First Name

HEATHER

Middle

RAE

Last Name

PECK

Business Name

HEATHER RAE PECK MD

Original Issue Date

02/22/2016

Effective Date

02/22/2016

Expiration Date

07/31/2017

City

SIOUX FALLS

State

Zip

57108

County

SOUTH DAKOTA

Ever Disciplined

LastModifiedDate

04/12/2017