RONALD DAVID PETERSON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068665

License Status

NOT RENEWED

Business

First Name

RONALD DAVID

Last Name

PETERSON

Suffix

Business Name

RONALD DAVID PETERSON DO

Original Issue Date

05/14/1984

Effective Date

06/10/2020

Expiration Date

07/31/2023

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023