ROBERT ARLAND PETERSON II Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****91

License Status

INOPERATIVE

Business

First Name

ROBERT

Middle

ARLAND

Last Name

PETERSON

Suffix

Business Name

ROBERT ARLAND PETERSON II

Original Issue Date

07/02/2009

Effective Date

01/10/2012

Expiration Date

03/01/2014

City

LINDENHURST

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

01/10/2012