CELESTE V PETERSON DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065964

License Status

INACTIVE

Business

First Name

CELESTE

Middle

Last Name

PETERSON

Suffix

Business Name

CELESTE V PETERSON DO

Original Issue Date

01/18/1983

Effective Date

01/18/1983

Expiration Date

07/31/1993

City

TRADE

State

Zip

37691

County

JOHNSON

Ever Disciplined

LastModifiedDate

02/02/2010