PAUL LEWIS PETERSEN MD
License Number: ME82450
Data As Of 6/30/2024
| Profession | Medical Doctor |
|---|---|
| License | ME82450 |
| License Status | CLEAR/Active |
| Qualifications | Dispensing Practitioner |
| License Expiration Date | 1/31/2025 |
| License Original Issue Date | 05/09/2001 |
| Address of Record | MOUNT SINAI MEDICAL CENTER |
| 4300 ALTON ROAD | |
| MIAMI BEACH, FL 33140 | |
| Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain) | Yes |
| Discipline on File | No |
| Public Complaint | No |
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