CHASE BURTON PETERSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

ACTIVE

Business

Title

First Name

CHASE

Middle

BURTON

Last Name

PETERSEN

Business Name

CHASE BURTON PETERSEN MD

Original Issue Date

12/12/2025

Effective Date

12/12/2025

Expiration Date

07/31/2026

City

LOGAN

State

Zip

84341

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/08/2026