PETER R WHITIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056996

License Status

NOT RENEWED

Business

First Name

PETER R

Last Name

WHITIS

Suffix

Business Name

PETER R WHITIS MD

Original Issue Date

06/28/1978

Effective Date

06/28/1978

Expiration Date

07/31/1999

City

GALENA

State

Zip

61036

County

JO DAVIESS

Ever Disciplined

LastModifiedDate

09/20/2006