License holder summary

Carl David Petersen is a Medical - Physician licensed to practice in Colorado. The address on file for Carl David Petersen is 1216 BELLAIR WAY, MENLO PARK, CA, 94025-4025. This licensed professional license is not current. The license was granted 07/12/1966 and expired on 05/31/1999.

Colorado

Division of Professions and Occupations

Carl David Petersen
Medical - Physician
License number
15347
Date granted
07/12/1966
Date expires
05/31/1999
Class
Medical - Physician
Status
Expired
Address
1216 BELLAIR WAY, MENLO PARK, CA, 94025-4025
coloradolicensing.org
ID 27446770
LAST UPDATED 2024-03-24 18:45:13 UTC

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