CLIFTON EDWARD PETERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038483

License Status

NOT RENEWED

Business

First Name

CLIFTON EDWARD

Last Name

PETERSON

Suffix

Business Name

CLIFTON EDWARD PETERSON MD

Original Issue Date

07/12/1963

Effective Date

07/12/1963

Expiration Date

07/31/1987

City

KENOSHA

State

Zip

53140

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006