CHASE BURTON PETERSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036178096

License Status

ACTIVE

Business

Title

First Name

CHASE

Middle

BURTON

Last Name

PETERSEN

Business Name

CHASE BURTON PETERSEN MD

Original Issue Date

12/01/2025

Effective Date

12/01/2025

Expiration Date

07/31/2026

City

SMITHFIELD

State

Zip

84335

Ever Disciplined

LastModifiedDate

12/01/2025