License Directory

Glen William Petersen

Active

California license A26004

License

Licensed by
Medical Board of California
License number
A26004
Status
Active (Current)
First issued
June 24, 1974
Expires
August 31, 2028
License holder
Glen William Petersen
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

25 Woodcrest Rd
Orinda, CA 94563-3516
Contra Costa County