ILA MARIE PETERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058705

License Status

NOT RENEWED

Business

First Name

ILA MARIE

Last Name

PETERSON

Suffix

Business Name

ILA MARIE PETERSON MD

Original Issue Date

05/17/1979

Effective Date

05/17/1979

Expiration Date

07/01/1982

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006