PETER A VAN HOUTEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073438

License Status

NOT RENEWED

Business

First Name

PETER A

Last Name

VAN HOUTEN

Suffix

Business Name

PETER A VAN HOUTEN MD

Original Issue Date

08/14/1986

Effective Date

08/14/1986

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60606

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006