ROBERT JUUL PETERSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037775

License Status

NOT RENEWED

Business

First Name

ROBERT JUUL

Last Name

PETERSEN

Suffix

Business Name

ROBERT JUUL PETERSEN MD

Original Issue Date

06/15/1962

Effective Date

06/15/1962

City

PROVO

State

Zip

84601

County

UTAH

Ever Disciplined

LastModifiedDate

09/20/2006