RAYMOND W PETERSON Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002587

License Status

NOT RENEWED

Business

First Name

RAYMOND W

Last Name

PETERSON

Business Name

RAYMOND W PETERSON

Original Issue Date

08/04/1969

Effective Date

08/04/1969

City

TUCSON

State

Zip

85710

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/25/2006