PETER RAPHAEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081063

License Status

NOT RENEWED

Business

First Name

PETER

Last Name

RAPHAEL

Suffix

Business Name

PETER RAPHAEL MD

Original Issue Date

07/19/1990

Effective Date

07/19/1990

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

02/06/2007

Case Number

2004002972

Action

Refuse To Renew

Discipline Start Date

06/11/2004

Discipline Reason

Disciplined in Texas.