License holder summary

Jerry Robert Petersen is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Jerry Robert Petersen is Ridgeview Westonka Clinic, 4695 Shoreline Drive, Spring Park, MN 55384. This doctor license is current. The license was granted 08/04/1972 and expired on 04/30/2015.

Department of Safety and Professional Services

Board of Medical Practice

Jerry Robert Petersen
Medical - Physician And Surgeon
License number
20372
Date granted
08/04/1972
Date expires
04/30/2015
Class
Medical - Physician And Surgeon
Status
Active
Address
Ridgeview Westonka Clinic, 4695 Shoreline Drive, Spring Park, MN 55384
doctorsminnesota.org
ID 22277875
LAST UPDATED 2026-05-08 08:06:06 UTC

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