DONNY JUVENAL PETERSON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127341

License Status

NOT RENEWED

Business

First Name

DONNY

Middle

JUVENAL

Last Name

PETERSON

Business Name

DONNY JUVENAL PETERSON

Original Issue Date

03/15/2011

Effective Date

07/19/2011

Expiration Date

07/31/2014

City

CAMAS

State

Zip

98607

County

WASHINGTON STATE

Ever Disciplined

LastModifiedDate

11/17/2014