License holder summary

KENNETH D PETERSEN MD IN is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for KENNETH D PETERSEN MD IN is 302 ISLAND VIEW DRIVE, GOSHEN IN 46526. This licensed professional license is not current. The license was granted 01/04/1980 and expired on 01/31/1994.

Indiana

Professional Licensing Agency

KENNETH D PETERSEN MD IN
Medical Licensing Board - Medical Corporation
License number
50001677A
Date granted
01/04/1980
Date expires
01/31/1994
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
302 ISLAND VIEW DRIVE, GOSHEN IN 46526
indianalicensing.org
ID 24827451
LAST UPDATED 2024-04-11 05:32:11 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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