DALE J PETERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073823

License Status

NOT RENEWED

Business

First Name

DALE J

Last Name

PETERSON

Suffix

Business Name

DALE J PETERSON MD

Original Issue Date

09/26/1986

Effective Date

09/26/1986

Expiration Date

07/31/1990

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/21/2012

Case Number

2012007629

Action

Refuse To Renew

Discipline Start Date

11/13/2012

Discipline Reason

due to sister-state discipline by the state of Washington.