KENT L PETERSON Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003772

License Status

INACTIVE

Business

First Name

KENT L

Last Name

PETERSON

Business Name

KENT L PETERSON

Original Issue Date

09/28/1984

Effective Date

09/28/1984

Expiration Date

01/31/1985

City

ALBUQUERQUE

State

Zip

87112

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

09/25/2006