ANDREW DODD PETERSEN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036159025

License Status

ACTIVE

Business

Title

First Name

ANDREW

Middle

DODD

Last Name

PETERSEN

Business Name

ANDREW DODD PETERSEN DO

Original Issue Date

12/20/2021

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

MAPLETON

State

Zip

84664

County

UTAH

Ever Disciplined

LastModifiedDate

02/26/2026