License holder summary

Brent Hagan Petersen is a Medical - Physician licensed to practice in Colorado. The address on file for Brent Hagan Petersen is 112 HEATHERGLEN, COPPELL, TX, 75019-5019. This licensed professional license is not current. The license was granted 04/12/1984 and expired on 05/31/1987.

Colorado

Division of Professions and Occupations

Brent Hagan Petersen
Medical - Physician
License number
25927
Date granted
04/12/1984
Date expires
05/31/1987
Class
Medical - Physician
Status
Expired
Address
112 HEATHERGLEN, COPPELL, TX, 75019-5019
coloradolicensing.org
ID 27446769
LAST UPDATED 2024-02-22 21:34:51 UTC

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