MATTHEW ROBERT PETERSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****62

License Status

ACTIVE

Business

First Name

MATTHEW

Middle

ROBERT

Last Name

PETERSON

Business Name

MATTHEW ROBERT PETERSON

Original Issue Date

04/04/2007

Effective Date

02/16/2026

Expiration Date

03/01/2028

City

O'FALLON

State

Zip

62269

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/16/2026