License holder summary

JED RUSSELL PETERSON is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for JED RUSSELL PETERSON is Albany NY 12209. This medical practitioner license is not current. The license was granted 04/24/2006 and expired on 06/30/2011.

Department of State

Board of Medicine

JED RUSSELL PETERSON
Graduate Medical Trainee
License number
MT188220
Date granted
04/24/2006
Date expires
06/30/2011
Class
Graduate Medical Trainee
Status
Inactive
Address
Albany NY 12209
medicinepa.com
ID 37559359
LAST UPDATED 2024-02-14 14:23:41 UTC

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