License holder summary

Keith Elam Peterson is a Medical - Physician licensed to practice in Colorado. The address on file for Keith Elam Peterson is 1106 W 6th St, Marshfield, WI, 54449-3507. This licensed professional license is not current. The license was granted 01/11/1972 and expired on 04/30/2015.

Colorado

Division of Professions and Occupations

Keith Elam Peterson
Medical - Physician
License number
17298
Date granted
01/11/1972
Date expires
04/30/2015
Class
Medical - Physician
Status
Inactive
Address
1106 W 6th St, Marshfield, WI, 54449-3507
coloradolicensing.org
ID 27455127
LAST UPDATED 2024-01-28 10:03:16 UTC

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