WAYNE W PETERSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068000

License Status

INACTIVE

Business

First Name

WAYNE

Middle

Last Name

PETERSON

Suffix

Business Name

WAYNE W PETERSON MD

Original Issue Date

11/28/1983

Effective Date

11/28/1983

Expiration Date

07/31/1987

City

BURLINGTON

State

Zip

53105

Ever Disciplined

LastModifiedDate

09/20/2006