BRIAN RAY PETERSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142390

License Status

ACTIVE

Business

Title

First Name

BRIAN

Middle

RAY

Last Name

PETERSON

Business Name

BRIAN RAY PETERSON MD

Original Issue Date

02/09/2017

Effective Date

04/29/2023

Expiration Date

07/31/2026

City

SOUTH JORDAN

State

Zip

84095

Ever Disciplined

LastModifiedDate

04/29/2023