PETER G THEOPHER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074562

License Status

INACTIVE

Business

First Name

PETER G

Last Name

THEOPHER

Suffix

Business Name

PETER G THEOPHER MD

Original Issue Date

03/02/1987

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

LAGRANGE PARK

State

Zip

60526

County

COOK

Ever Disciplined

LastModifiedDate

04/17/2008