KEVIN A PETERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073549

License Status

NOT RENEWED

Business

First Name

KEVIN A

Last Name

PETERSON

Suffix

Business Name

KEVIN A PETERSON MD

Original Issue Date

08/19/1986

Effective Date

08/19/1986

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006