EDMUND VICTOR PELLETTIERE II MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039937

License Status

INACTIVE

Business

First Name

EDMUND VICTOR

Last Name

PELLETTIERE II

Suffix

Business Name

EDMUND VICTOR PELLETTIERE II MD

Original Issue Date

08/20/1965

Effective Date

08/20/1965

Expiration Date

07/31/2005

City

LAGRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006