STANLEY EUGENE PETERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051171

License Status

NOT RENEWED

Business

First Name

STANLEY EUGENE

Last Name

PETERSON

Suffix

Business Name

STANLEY EUGENE PETERSON MD

Original Issue Date

07/10/1975

Effective Date

07/10/1975

Expiration Date

07/01/1982

City

STOUGHTON

State

Zip

53589

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006