JON T PETERSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082249

License Status

INACTIVE

Business

First Name

JON T

Last Name

PETERSON

Suffix

Business Name

JON T PETERSON MD

Original Issue Date

03/29/1991

Effective Date

03/29/1991

Expiration Date

07/31/1996

City

NEWPORT NEWS

State

Zip

23601

County

VIRGINIA

Ever Disciplined

LastModifiedDate

02/18/2009