License holder summary

PETERSEN, LYLE ROBERT, MD is a Medical - Physician licensed to practice in Georgia. The address on file for PETERSEN, LYLE ROBERT, MD is 1119 MAREN COVE, FORT COLLINS 80525. This doctor license is current. The license was granted 06/04/1992 and expired on 07/31/2017.

Georgia

Composite Medical Board

PETERSEN, LYLE ROBERT, MD
Medical - Physician
License number
035729
Date granted
06/04/1992
Date expires
07/31/2017
Class
Medical - Physician
Status
Active
Address
1119 MAREN COVE
georgiadoctors.net
ID 38072546
LAST UPDATED 2024-03-16 02:03:25 UTC

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