License holder summary

PETERSEN LAURIS JON is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for PETERSEN LAURIS JON is SCOTIA NY. This doctor license is current. The license was granted 03/04/1999 and expired on 12/31/2016.

New York

Office of the Professions

PETERSEN LAURIS JON
Medicine (Physician, Including M Ds & D Os)
License number
213320
Date granted
03/04/1999
Date expires
12/31/2016
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
SCOTIA NY
nymedicine.org
ID 30244151
LAST UPDATED 2026-05-07 11:26:09 UTC

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