ALAN ABBOTT PETERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039669

License Status

NOT RENEWED

Business

First Name

ALAN ABBOTT

Last Name

PETERSON

Suffix

Business Name

ALAN ABBOTT PETERSON MD

Original Issue Date

05/25/1965

Effective Date

06/13/2011

Expiration Date

07/31/2014

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/17/2014