BRENT H PETERSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075837

License Status

ACTIVE

Business

First Name

BRENT H

Last Name

PETERSEN

Suffix

Business Name

BRENT H PETERSEN MD

Original Issue Date

09/05/1987

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

PALATINE

State

Zip

60067

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2023