Paul Lewis Petersen
ExpiredCalifornia license A67777
License
- Licensed by
- Medical Board of California
- License number
- A67777
- Status
- Expired (Delinquent)
- First issued
- March 12, 1999
- Expired
- June 30, 2024
- License holder
- Paul Lewis Petersen
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
819 NE 72nd Terrace
Miami, FL 33138
Miami, FL 33138
Miami-Dade County