License holder summary

BRIAN WALTER PETERSEN is a Osteopathic Medicine & Surgery - Osteopathic Educational Limited licensed to practice in Michigan. This medical licensee license is not current. The license was granted 06/21/2004 and expired on 06/30/2007.

Department of Licensing and Regulatory Affairs

Board of Medicine

BRIAN WALTER PETERSEN
Osteopathic Medicine & Surgery - Osteopathic Educational Limited
License number
5101016201
Date granted
06/21/2004
Date expires
06/30/2007
Class
Osteopathic Medicine & Surgery - Osteopathic Educational Limited
Status
Voided
Address
michiganmedical.net
ID 39123997
LAST UPDATED 2024-03-16 11:50:06 UTC

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