TIMOTHY PETERSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085015

License Status

ACTIVE

Business

First Name

TIMOTHY

Last Name

PETERSON

Suffix

Business Name

TIMOTHY PETERSON MD

Original Issue Date

07/29/1992

Effective Date

06/30/2023

Expiration Date

07/31/2026

City

KENILWORTH

State

Zip

60043

County

COOK

Ever Disciplined

LastModifiedDate

06/30/2023